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Jeffrey Johnson, D.D.S
NPI 1598981052 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4903 E State St
Rockford, IL 61108 - Phone
- (815) 398-2323
- Fax
- (815) 398-2328
- Organisation at this address
- Pediatric Dentistry Of Northern Illinois Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
- Status
- Not present in the most recent federal file
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 Illinois