# JAY A JOHNSON DDS LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639398597
- **Authorized official:** JAY A JOHNSON DDS (OWNER)
- **Authorized official phone:** 70239622223

## Contact information

- **Practice address:** 3220 N BRONCO ST, STE 102, LAS VEGAS, NV 89108-4863
- **Practice address phone:** (702) 396-2223
- **Practice address fax:** (702) 396-7805
- **Mailing address:** 3220 N BRONCO ST, STE 102, LAS VEGAS, NV 89108-4863
- **Mailing address phone:** (702) 396-2223
- **Mailing address fax:** (702) 396-7805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2320 | NV | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020