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Blake Johnson, DMD
NPI 1790469229 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3705 N Main St Ste 200
Taylor, TX 76574 - Phone
- (512) 595-7439
- Organisation at this address
- Taylor Total Dental And Orthodontics Pllc
Taylor Total Dental And Orthodontics PllcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-28
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 Texas