# J.O. JOHNSON DDS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** J.O. JOHNSON DDS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760126965
- **Legal business name:** J.O. JOHNSON DDS
- **Authorized official:** DR. JEFFREY JOHNSON DDS (SOLE PROPRIETOR)
- **Authorized official phone:** (660) 232-9123

## Contact information

- **Practice address:** 611 S BUSINESS HIGHWAY 13, LEXINGTON, MO 64067-1511
- **Practice address phone:** (660) 232-9123
- **Practice address fax:** (660) 259-2321
- **Mailing address:** PO BOX 27, LEXINGTON, MO 64067-0027
- **Mailing address phone:** (660) 232-9123

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2022
- **Last updated:** 04/24/2022