Search › Indiana › 1223X0400X
Joel Johnson, DDS
NPI 1568714590 · on the registry since 2012
Practice
- Address
- 10211 Dupont Circle Dr W Ste A
Fort Wayne, IN 46825 - Phone
- (260) 489-8989
- Fax
- (734) 763-8100
- Organisation at this address
- Fort Wayne Pediatric Dentistry Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 1223G0001X
- Licence states on file
- MI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-07
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 Indiana