# AMY SUSAN JOHN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912744129
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 42934 | TX | Yes |
| 1223G0001X | General Practice Dentistry | 7921 | OK | — |

## Other

- **Enumeration date:** 07/15/2024
- **Last updated:** 09/23/2026