Hentscher-Johnson Orthodontics

NPI #1750648564 in Waterloo, Illinois

Provider Information

NPI Number: 1750648564
Entity Type: Organization
Organization Name: Hentscher-Johnson Orthodontics
Primary Specialty: Dentist
Enumeration Date: Apr 18, 2012
Last Updated: Apr 18, 2012

Practice Location

Address: 200 E MILL ST
City: Waterloo
State: Illinois
ZIP Code: 62298-1519
Phone: (618) 939-2900

Authorized Official

Name: DR. JODI KAY HENTSCHER-JOHNSON, D.M.D., M.S.
Title: DENTIST/ORTHODONTIST
Phone: (618) 939-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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