| Johnson And Johnson Family Dentistry | |
|
2525 W Iles Ave Springfield IL 62704-4283 | |
| (217) 787-7744 | |
| Not Available |
| Full Name | Johnson And Johnson Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2525 W Iles Ave, Springfield, Illinois |
| Authorized Official Name and Position | Ryan D Johnson (DENTIST) |
| Authorized Official Contact | 2177877744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson And Johnson Family Dentistry 2525 W Iles Ave Springfield IL 62704-4283 Ph: (217) 787-7744 | Johnson And Johnson Family Dentistry 2525 W Iles Ave Springfield IL 62704-4283 Ph: (217) 787-7744 |
| NPI Number | 1194061564 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194061564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028015 (Illinois) | Primary |
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