Dr. Tara Nicole Johnson, DDS
Dentist, Pediatric Dentistry in Humble, TX. Individual provider (NPI-1).
NPI number1851685697
StatusActive
Last updated in NPPESNov 30, 2021
Details
- NPI
- 1851685697
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tara Nicole Johnson
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2011
- Certification date
- Nov 30, 2021
- Last updated
- Nov 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 28536 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Tara Nicole Gainey (Former Name)
Practice location
7810 Fm 1960Unit 101
Humble, TX 77346
Phone 281-852-1191
Mailing address
7810 Fm 1960Unit 101
Humble, TX 77346
Phone 281-852-1191
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