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Contact Information

JOHN A JOHNSON, DDS
3015 S PROVIDENCE RD
COLUMBIA, MO65203
 Phone: 573-449-4900
 Fax: 573-875-6142
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for JOHN A JOHNSON · (Male)

NPI # 1063480622
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/09/2006
Last updated 07/18/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO License # MO14398
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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