Richard S Johnson, DDS

NPI #1023024064 in Providence, Utah

Provider Information

NPI Number: 1023024064
Entity Type: Individual
Name: Richard S Johnson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 31, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: SOUTH VALLEY FAMILY DENTAL DR. RICHARD S. JOHNSON DDS
Address 2: 271 N. SPRINGCREEK PKWY SUITE D
City: Providence
State: Utah
ZIP Code: 84332-9875
Phone: (435) 787-2122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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