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
- City
- Sheppard Afb
- State
- Texas
- ZIP Code
- 76311-7631
- Phone
- (940) 676-4412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
| Military Health Care Provider |
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