Individual
DWIGHT HOOD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
430 W INDEPENDENCE ST, JACKSON, MO 63755-1203
(573) 243-3957
(573) 243-0076
Mailing address
430 W INDEPENDENCE ST, JACKSON, MO 63755-1203
(573) 243-3957
(573) 243-0076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12052
MO
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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