Individual
DR. ROBERT H. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
670 SUPERIOR CT STE 101, MEDFORD, OR 97504-6179
(541) 779-6170
(541) 779-0989
Mailing address
670 SUPERIOR CT STE 101, MEDFORD, OR 97504-6179
(541) 779-6170
(541) 779-0989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3417859922
UT
1223G0001X
General Practice Dentistry
Primary
D9569
OR
Other
Enumeration date
09/28/2007
Last updated
01/24/2024
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