Damon Robert Johnson, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Edmond, OK
- NPI
- 1235264086
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5114 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-22
- Last updated
- 2009-02-18
Practice location
1400 W. Covell Road
Edmond, OK 73003-3504
(405) 348-6161