Organization
JOHNSON ORTHODONTICS LLC
Active
Organization
JOHNSON ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN WARREN JOHNSON D.M.D, M.S (OWNER)
(205) 218-4123
Entity
Organization
Contact information
Practice address
2124 CECIL ASHBURN DR SE, SUITE 170, HUNTSVILLE, AL 35802-2574
(256) 489-1868
Mailing address
2124 CECIL ASHBURN DR SE, SUITE 170, HUNTSVILLE, AL 35802-2574
(256) 489-1868
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5686
AL
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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