Individual
DR. DAVID ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3512 JERSEY RIDGE RD, DAVENPORT, IA 52807-2223
(536) 359-3494
(563) 355-8282
Mailing address
3512 JERSEY RIDGE RD, DAVENPORT, IA 52807-2223
(536) 359-3494
(563) 355-8282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7599
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096222
—
IA
Enumeration date
12/14/2006
Last updated
07/09/2007
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