Individual
DR. SAMUEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4400 EMILE ST # 3602, OMAHA, NE 68198-0600
(402) 559-6000
Mailing address
1011 S SADDLE CREEK RD APT 227, OMAHA, NE 68106-1966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7867
NE
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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