Individual
DR. NORMAN DOUGLAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3132 W STATE ROAD 38, PENDLETON, IN 46064-8702
(765) 778-7585
(765) 778-0795
Mailing address
3132 W STATE ROAD 38, PENDLETON, IN 46064-8702
(765) 778-7585
(765) 778-0795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007197A
IN
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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