Organization
JOHNSON DENTISTRY CENTER, P.A.
Active
Other names
Johnson Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALBERT JOHNSON JR. D.D.S. (PRESIDENT)
(979) 774-7500
Entity
Organization
Contact information
Practice address
3702 COPPERCREST DRIVE, BRYAN, TX 77802
(979) 774-7500
(979) 774-7071
Mailing address
2752 ROCKCLIFFE LOOP, COLLEGE STATION, TX 77845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY #
—
01
—
21064
STATE LICENSE
TX
Enumeration date
05/21/2007
Last updated
08/22/2020
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