Ryan Daniel Johnson, DMD
Dentist in Springfield, IL. Individual provider (NPI-1).
NPI number1821228131
StatusActive
Last updated in NPPESNov 28, 2012
Details
- NPI
- 1821228131
- Entity type
- Individual (NPI-1)
- Name
- Ryan Daniel Johnson
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2009
- Last updated
- Nov 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019.028015 | IL | Yes |
Practice location
2525 W Iles AveSpringfield, IL 62704-4283
Phone 217-787-7744 · Fax 217-793-3620
Mailing address
2525 W Iles AveSpringfield, IL 62704-4283
Phone 217-787-7744 · Fax 217-793-3620
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All 85 Dentist providers in Springfield · All 5,952 providers in Springfield
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