Individual
JOHNNY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 CHAMBERS HILL DR STE 202, CHAMBERSBURG, PA 17201-7304
(717) 709-7941
Mailing address
767 5TH AVE STE B3-A, CHAMBERSBURG, PA 17201-4207
(717) 709-7940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS042651
PA
1223P0221X
Pediatric Dentistry
Primary
DS042651
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/09/2018
Last updated
08/13/2020
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