Pediatric Dentistry of Northern Illinois Ltd
NPI #1376651679 in Rockford, Illinois
Provider Information
- NPI Number
- 1376651679
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry of Northern Illinois Ltd
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. JEFFREY JAMES JOHNSON, DDS
- Title
- PEDIATRIC DENTIST OWNER PRESIDENT
- Phone
- (815) 398-2323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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