Alan Marshall Johnson, DDS Valid NPI
Individual provider · Dentist · O Fallon, MO
- NPI
- 1417395674
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 2012015896 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2013-06-10
- Last updated
- 2013-06-10
Practice location
126 Triad Ctr W
O Fallon, MO 63366-7541
(636) 978-2226