| Andrew D Johnson Dds | |
|
2203 N Sweetbriar St Wichita KS 67204-5518 | |
| (316) 838-1300 | |
| Not Available |
| Full Name | Andrew D Johnson Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2203 N Sweetbriar St, Wichita, Kansas |
| Authorized Official Name and Position | Andrew Johnson (OWNER/DENTIST) |
| Authorized Official Contact | 3168381300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew D Johnson Dds 2203 N Sweetbriar St Wichita KS 67204-5518 Ph: (316) 838-1300 | Andrew D Johnson Dds 2203 N Sweetbriar St Wichita KS 67204-5518 Ph: (316) 838-1300 |
| NPI Number | 1245839331 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 10/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245839331 | NPI | - | NPPES |
| 61357 | Other | KS | KANSAS DENTAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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