Search › Illinois › 122300000X
Ryan Johnson, DMD
NPI 1821228131 · on the registry since 2009
Practice
- Address
- 2525 W Iles Ave
Springfield, IL 62704 - Phone
- (217) 787-7744
- Fax
- (217) 793-3620
- Organisation at this address
- Johnson Family Dental, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-28
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 Illinois