Organization
JOHN S JOHNSON, DDS, PA
Active
Other names
John S Johnson, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SCOTT JOHNSON DDS (OWNER/PRESIDENT)
(806) 687-8080
Entity
Organization
Contact information
Practice address
5102 SALEM AVE, LUBBOCK, TX 79414-4036
(806) 687-8080
(806) 771-6862
Mailing address
5102 SALEM AVE, LUBBOCK, TX 79414-4036
(806) 687-8080
(806) 771-6862
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111208802
—
TX
Enumeration date
10/26/2011
Last updated
10/26/2011
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