Individual
DR. ELIZABETH ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
415 E JOHN ST, ONEILL, NE 68763-1353
(402) 336-3666
(402) 336-3666
Mailing address
87187 W 10TH ST, ONEILL, NE 68763-4003
(402) 336-4613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5328
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05711-NE
BCBS OF NE
NE
05
—
47069757400
—
NE
Enumeration date
11/20/2006
Last updated
07/08/2007
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