Organization
J. BERT JOHNSON DDS, INC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BERT JOHNSON DDS (DENTIST)
(918) 744-1255
Entity
Organization
Contact information
Practice address
4715 E 91ST ST, SUITE 110, TULSA, OK 74137-2840
(918) 744-1255
(918) 744-1259
Mailing address
4715 E 91ST ST, SUITE 110, TULSA, OK 74137-2840
(918) 744-1255
(918) 744-1259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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