Dwight Hood Johnson, D.D.S.

NPI #1295800712 in Jackson, Missouri

Provider Information

NPI Number: 1295800712
Entity Type: Individual
Name: Dwight Hood Johnson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 430 W INDEPENDENCE ST
City: Jackson
State: Missouri
ZIP Code: 63755-1203
Phone: (573) 243-3957

Specialties & Taxonomy Codes

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

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