DR. Shannan Michelle Johnson, D.M.D.

NPI #1114259868 in Offutt Afb, Nebraska

Provider Information

NPI Number
1114259868
Entity Type
Individual
Name
DR. Shannan Michelle Johnson, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
D.M.D.
Enumeration Date
Feb 5, 2010
Last Updated
Dec 5, 2019

Practice Location

Address
2501 CAPEHART RD
ZIP Code
68113-1043
Phone
(402) 294-3212

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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