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Organization

JAMES K JOHNSON DMD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES KEITH JOHNSON DMD (OWNER)
(541) 779-4517
Entity
Organization

Contact information

Practice address
2936 E BARNETT RD, MEDFORD, OR 97504-8309
(541) 779-4517
(541) 779-4605
Mailing address
2936 E BARNETT RD, MEDFORD, OR 97504-8309
(541) 779-4517
(541) 779-4605

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4738
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205132693
NPPES
OR
Enumeration date
02/09/2011
Last updated
02/09/2011
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