Michael B Johnson, DDS

NPI #1841493236 in Tishomingo, Oklahoma

Provider Information

NPI Number: 1841493236
Entity Type: Individual
Name: Michael B Johnson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 6, 2007
Last Updated: May 28, 2008

Practice Location

Address: 815 E 6TH ST
City: Tishomingo
State: Oklahoma
ZIP Code: 73460-2847
Phone: (580) 421-4570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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