# ALLAN D. JOHNSON DDS, PC

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

## Provider details

- **NPI number:** 1699293944
- **Authorized official:** ALLAN JOHNSON DDS (DENTIST)
- **Authorized official phone:** (602) 992-9251

## Contact information

- **Practice address:** 14640 N TATUM BLVD STE 2, PHOENIX, AZ 85032-4824
- **Practice address phone:** (602) 992-9251
- **Practice address fax:** (602) 992-1002
- **Mailing address:** 14640 N TATUM BLVD STE 2, PHOENIX, AZ 85032-4824
- **Mailing address phone:** (602) 992-9251
- **Mailing address fax:** (602) 992-1002

## Taxonomy

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

## Other

- **Enumeration date:** 09/07/2017
- **Last updated:** 07/21/2022