DR. Justin Lee Johnson, DDS
NPI #1053516658 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1053516658
- Entity Type
- Individual
- Name
- DR. Justin Lee Johnson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 15, 2007
- Last Updated
- Apr 28, 2014
Practice Location
- Address
- 3551 AMAZONAS DR
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-5717
- Phone
- (573) 634-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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