Organization
EDWINA V. JOHNSON, D.D.S., P.C.
Active
Other names
Dental Works
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDWINA VIRGINIA JOHNSON D.D.S. (DENTIST)
(405) 557-1245
Entity
Organization
Contact information
Practice address
4200 HEMINGWAY DR, OKLAHOMA CITY, OK 73118-2235
(405) 557-1245
Mailing address
4200 HEMINGWAY DR, OKLAHOMA CITY, OK 73118-2235
(405) 557-1245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
S 4606
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316049141
NPI INDIVIDUAL ID
OK
01
—
731231901001
OTHER ID OK
OK
Enumeration date
09/25/2007
Last updated
06/18/2008
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