Individual
DR. JEFFERY JUSTIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9775 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-2635
(314) 427-7400
(314) 427-6491
Mailing address
9775 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-2635
(314) 427-7400
(314) 427-6491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12260
MO
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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