Organization
MATTHEW S JOHNSON DDS MSD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW S JOHNSON DDS MSD PA (ORTHODONTIST)
(813) 964-0828
Entity
Organization
Contact information
Practice address
14859 N DALE MABRY HWY, TAMPA, FL 33618-2027
(813) 964-0828
Mailing address
14859 N DALE MABRY HWY, TAMPA, FL 33618-2027
(813) 964-0828
(813) 964-0928
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12335
FL
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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