Organization
SHELBY DENTAL ARTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY EDWARD JOHNSON DDS (PRESIDENT)
(419) 342-4566
Entity
Organization
Contact information
Practice address
70 W SMILEY AVE, SHELBY, OH 44875-1056
(419) 342-4566
(419) 347-6617
Mailing address
70 WEST SMILEY AVE., P.O.BOX 210, SHELBY, OH 44875-1326
(419) 342-4566
(419) 347-6617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15765
OH
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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