Individual
DR. GREGORY A. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8114 KINGSTON ST, AVON, IN 46123-7764
(317) 272-4755
Mailing address
8114 KINGSTON ST, AVON, IN 46123-7764
(317) 272-4755
(317) 272-4756
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12009238
IN
Other
Enumeration date
09/14/2006
Last updated
08/22/2022
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