Ryan Daniel Johnson, DMD
NPI #1821228131 in Springfield, Illinois
Provider Information
- NPI Number
- 1821228131
- Entity Type
- Individual
- Name
- Ryan Daniel Johnson, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 21, 2009
- Last Updated
- Nov 28, 2012
Practice Location
- Address
- 2525 W ILES AVE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-4283
- Phone
- (217) 787-7744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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