Dr. Jacob Lynn Johnson, DMD
Military Health Care Provider in Sheppard Afb, TX. Individual provider (NPI-1).
NPI number1982120895
StatusActive
Last updated in NPPESAug 20, 2023
Details
- NPI
- 1982120895
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob Lynn Johnson
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2017
- Certification date
- Aug 20, 2023
- Last updated
- Aug 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171000000X | Military Health Care Provider | 34858 | TX | Yes |
| 122300000X | Dentist | 2017020610 | MO | |
| 1223G0001X | Dentist, General Practice | 34858 | TX |
Practice location
Bldg 1200, 149g W Hart StSheppard Afb, TX 76311-7631
Phone 940-676-4412
Mailing address
5021 Taft Blvd Apt 3302Wichita Falls, TX 76308-5391
Phone 701-339-1678
Other practice locations
2501 Capehart Rd
Bellevue, NE 68123
Bellevue, NE 68123
Phone 402-232-0617
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Military Health Care Provider providers in Sheppard Afb, TX
- Colleen DaughertyNPI 1659359412
- Luke Joseph Delain, DONPI 1104323468
- Larry Wayne Groves, PT, ATCNPI 1457558751
- Denis Joseph Nolan, PT, DPT, OCSNPI 1972602472
- George Jay Scherer, OTR/LNPI 1235115452
All 6 Military Health Care Provider providers in Sheppard Afb · All 124 providers in Sheppard Afb
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.