Individual
DR. SHANNAN MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-3212
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-3212
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7502
NE
Other
Enumeration date
02/05/2010
Last updated
12/05/2019
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