DR. Jodi Kay Hentscher-Johnson, D.M.D.

NPI #1942577234 in Waterloo, Illinois

Provider Information

NPI Number: 1942577234
Entity Type: Individual
Name: DR. Jodi Kay Hentscher-Johnson, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: D.M.D.
Enumeration Date: Nov 30, 2011
Last Updated: Nov 30, 2011

Practice Location

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

Specialties & Taxonomy Codes

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

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Organizations

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