Individual
DR. TIMOTHY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1500 SE 17TH ST, SUITE 500, OCALA, FL 34471-4621
(352) 351-5051
(352) 351-5428
Mailing address
1500 SE 17TH ST, SUITE 500, OCALA, FL 34471-4621
(352) 351-5051
(352) 351-5428
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11290
FL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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