DR. Thomas Richard Johnson, D.D.S.

NPI #1922015874 in Winter Haven, Florida

Provider Information

NPI Number: 1922015874
Entity Type: Individual
Name: DR. Thomas Richard Johnson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3265 CYPRESS GARDENS RD
City: Winter Haven
State: Florida
ZIP Code: 33884-2450
Phone: (863) 324-4271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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