DR. Samantha Ryan Johnson, DDS

NPI #1205324688 in Delavan, Wisconsin

Provider Information

NPI Number: 1205324688
Entity Type: Individual
Name: DR. Samantha Ryan Johnson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 1, 2018
Last Updated: Jun 8, 2021

Practice Location

Address: 1624 HOBBS DR STE 2
City: Delavan
State: Wisconsin
ZIP Code: 53115-2000
Phone: (262) 740-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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