Individual
DR. SAMUEL MEREDITH JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2946 HWY 62, BLDG B, JEFFERSONVILLE, IN 47130-5914
(812) 288-8880
(812) 288-8839
Mailing address
2946 HWY 62, BLDG B, JEFFERSONVILLE, IN 47130-5914
(812) 288-8880
(812) 288-8839
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12006785A
IN
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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