Individual
DR. KERRY ALAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3244 HARRISBURG PIKE, LANDISVILLE, PA 17538-1316
(717) 898-7733
(717) 898-9802
Mailing address
3244 HARRISBURG PIKE, LANDISVILLE, PA 17538-1316
(717) 898-7733
(717) 898-9802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-29400-L
PA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/15/2006
Last updated
12/19/2019
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