Jacob Johnson, D.M.D.

NPI #1982063228 in Sanford, Florida

Provider Information

NPI Number
1982063228
Entity Type
Individual
Name
Jacob Johnson, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Feb 15, 2016
Last Updated
Jun 21, 2021

Practice Location

Address
4930 E LAKE MARY BLVD
State
Florida
ZIP Code
32771-5003
Phone
(407) 322-8645

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - General PracticeGeneral Practice

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