DR. Tad Terrence Johnson, DDS MS

NPI #1730196981 in Roy, Utah

Provider Information

NPI Number: 1730196981
Entity Type: Individual
Name: DR. Tad Terrence Johnson, DDS MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DDS MS
Enumeration Date: Aug 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1845 W 4400 S
Address 2: SUITE 3B
City: Roy
State: Utah
ZIP Code: 84067
Phone: (801) 731-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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