DR. Jamie L. Johnson, DDS

NPI #1114925955 in Pueblo, Colorado

Provider Information

NPI Number: 1114925955
Entity Type: Individual
Name: DR. Jamie L. Johnson, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 13, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 1001 S PUEBLO BLVD
City: Pueblo
State: Colorado
ZIP Code: 81005-1682
Phone: (719) 564-0990

Specialties & Taxonomy Codes

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

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