Ryan Johnson, DMD

NPI #1245801349 in Brookings, Oregon

Provider Information

NPI Number: 1245801349
Entity Type: Individual
Name: Ryan Johnson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 8, 2021
Last Updated: Jul 8, 2021

Practice Location

Address: 97829 SHOPPING CENTER AVE
City: Brookings
State: Oregon
ZIP Code: 97415-9135
Phone: (541) 813-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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