Individual
DR. JUSTIN GRANT JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3800 W RAY RD STE 11, CHANDLER, AZ 85226-5940
(480) 345-0530
Mailing address
3800 W RAY RD STE 11, CHANDLER, AZ 85226-5940
(480) 345-0530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009269
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D009269
ARIZONA STATE LICENSE
AZ
Enumeration date
06/17/2015
Last updated
06/17/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us