Organization
DR. JEFF WAYNE JOHNSON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF JOHNSON (DENTIST)
(336) 342-0102
Entity
Organization
Contact information
Practice address
1212 FREEWAY DR, REIDSVILLE, NC 27320-7170
(336) 342-0102
(336) 342-0123
Mailing address
1212 FREEWAY DR, REIDSVILLE, NC 27320-7170
(336) 342-0102
(336) 342-0123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4497
NC
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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