Individual
DR. JORDAN TYLER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
59 HAYWOOD PARK DR, CLYDE, NC 28721-4404
(828) 627-1999
(828) 627-1998
Mailing address
59 HAYWOOD PARK DR, CLYDE, NC 28721-4404
(828) 627-1999
(828) 627-1998
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13039
NC
Other
Enumeration date
06/08/2020
Last updated
08/12/2024
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