Individual
DR. JEFFREY J. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
660 NE 3RD ST, SUITE 3, BEND, OR 97701-4772
(541) 389-1884
(541) 389-1114
Mailing address
660 NE 3RD ST, SUITE 3, BEND, OR 97701-4772
(541) 389-1884
(541) 389-1114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8346
OR
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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