Organization
COYLE & JOHNSON, ORAL & MAXILLOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANTHONY JOHNSON DDS (OWNER)
(573) 449-4900
Entity
Organization
Contact information
Practice address
3015 S PROVIDENCE RD, COLUMBIA, MO 65203-3670
(573) 449-4900
(573) 875-6142
Mailing address
3015 S PROVIDENCE RD, COLUMBIA, MO 65203-3670
(573) 449-4900
(573) 875-6142
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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