Individual
DR. JEFF WAYNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1212 FREEWAY DR, REIDSVILLE, NC 27320-7170
(336) 342-0102
(336) 342-0123
Mailing address
1212 FREEWAY DR, REIDSVILLE, NC 27320-7170
(336) 342-0102
(336) 342-0123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4497
NC
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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