Jean Dorothy Johnson, D.D.S.
Dentist, General Practice in Berwick, PA. Individual provider (NPI-1).
NPI number1164543542
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164543542
- Entity type
- Individual (NPI-1)
- Name
- Jean Dorothy Johnson
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS025468-L | PA | Yes |
Practice location
807 E 4th StBerwick, PA 18603-3919
Phone 570-759-8961 · Fax 570-759-6911
Mailing address
807 E 4th StBerwick, PA 18603-3919
Phone 570-759-8961 · Fax 570-759-6911
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All 14 General Practice Dentistry providers in Berwick · All 245 providers in Berwick
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