Individual
DR. RICHARD E JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6944 A ST, STE B, LINCOLN, NE 68510-4112
(402) 483-7597
(402) 483-7598
Mailing address
6944 A ST, STE B, LINCOLN, NE 68510-4112
(402) 483-7597
(402) 483-7598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4303
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412515
UNIKD CONCORDIA
—
01
—
5316
BCBS
—
Enumeration date
10/27/2005
Last updated
07/08/2007
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