DR. Jacob Lynn Johnson, DMD

NPI #1982120895 in Sheppard Afb, Texas

Provider Information

NPI Number
1982120895
Entity Type
Individual
Name
DR. Jacob Lynn Johnson, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider
Credential
DMD
Enumeration Date
Aug 22, 2017
Last Updated
Aug 20, 2023

Practice Location

Address
BLDG 1200, 149G W HART ST
State
Texas
ZIP Code
76311-7631
Phone
(940) 676-4412

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice
Military Health Care Provider

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