Jeremy Johnson, D.D.S

NPI 1316042476 · on the registry since 2006

Practice

Address: 121 S 6th St
Henryetta, OK 74437
Phone: (918) 652-2555
Fax: (918) 652-2556
Organisation at this address: Henryetta Dental Center
Henyretta Dental Center 2, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma