# L.T. JOHNSON, DDS. PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brueggen Dental Implant Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306428180
- **Authorized official:** DR. LAERROL TERRELL JOHNSON DDS (OWNER)
- **Authorized official phone:** (281) 879-1786

## Contact information

- **Practice address:** 14626 BELLAIRE BLVD, HOUSTON, TX 77083-2506
- **Practice address phone:** (281) 879-1786
- **Practice address fax:** (281) 879-8147
- **Mailing address:** 14626 BELLAIRE BLVD, HOUSTON, TX 77083-2506
- **Mailing address phone:** (281) 879-1786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2021
- **Last updated:** 05/19/2021