Individual
DR. PAMELA JANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1417 BAKER PLACE, BLUFFTON, IN 46714
(260) 824-5940
(260) 824-5950
Mailing address
1417 BAKER PLACE, BLUFFTON, IN 46714
(260) 824-5940
(260) 824-5950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010359
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
672116
UNITED CONCORDIA
—
Enumeration date
12/05/2006
Last updated
07/08/2007
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