Individual
DR. JAMES KEITH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2936 E BARNETT RD, MEDFORD, OR 97504-8309
(541) 779-4517
Mailing address
2316 W HILLSIDE DR, CENTRAL POINT, OR 97502-1367
(541) 944-1427
(541) 732-3083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4738
OR
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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