James K Johnson Dmd, Llc | |
2936 E Barnett Rd Medford OR 97504-8309 | |
(541) 779-4517 | |
(541) 779-4605 |
Full Name | James K Johnson Dmd, Llc |
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Speciality | Dentist |
Location | 2936 E Barnett Rd, Medford, Oregon |
Authorized Official Name and Position | James Keith Johnson (OWNER) |
Authorized Official Contact | 5417794517 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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James K Johnson Dmd, Llc 2936 E Barnett Rd Medford OR 97504-8309 Ph: (541) 779-4517 | James K Johnson Dmd, Llc 2936 E Barnett Rd Medford OR 97504-8309 Ph: (541) 779-4517 |
NPI Number | 1275839110 |
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Provider Enumeration Date | 02/09/2011 |
Last Update Date | 02/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275839110 | NPI | - | NPPES |
1205132693 | Other | OR | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D4738 (Oregon) | Primary |
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