DR. Timothy Johnson, DDS

NPI #1649603838 in Bryan, Texas

Provider Information

NPI Number: 1649603838
Entity Type: Individual
Name: DR. Timothy Johnson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 12, 2013
Last Updated: May 24, 2016

Practice Location

Address: 1126 E VILLA MARIA RD
City: Bryan
State: Texas
ZIP Code: 77802-2444
Phone: (979) 776-1976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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