John Bertrum Johnson D.D.S.

NPI 1033290309 - Dentist - 1223G0001X

NPI Details
NPI 1033290309
Gender Male
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4715 E 91ST ST
110
TULSA OK, 74137-2840, US
Phone (918) 744-1255
Fax (918) 744-1259
Business Location
4715 E 91ST ST
110
TULSA OK, 74137-2840, US
Phone (918) 744-1255
Fax (918) 744-1259
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 4522
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According to our database, Dr. John Bertrum Johnson D.D.S. NPI is 1033290309, taxonomy code is 1223G0001X and license number is 4522, license state is located at Oklahoma. John Bertrum Johnson D.D.S. physically located at 4715 E 91st St, Tulsa OK, 74137-2840. NPI Number John Bertrum Johnson D.D.S. has the Individual type.

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1033290309 NPI number is provided on an as is basis without warranty of any kind. 1033290309 is maintained by the National Plan & Provider Enumeration System. The contents of John Bertrum Johnson D.D.S. are for informational purposes only.