DR. Alan Marshall Johnson, DDS

NPI #1417395674 in O Fallon, Missouri

Provider Information

NPI Number: 1417395674
Entity Type: Individual
Name: DR. Alan Marshall Johnson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 10, 2013
Last Updated: Jun 10, 2013

Practice Location

Address: 126 TRIAD CTR W
City: O Fallon
State: Missouri
ZIP Code: 63366-7541
Phone: (636) 978-2226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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