MEDICARE: DR. JEFFERY JUSTIN JOHNSON DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	12260	MO

General Provider Information

NPI Number	:	1063424687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFERY JUSTIN JOHNSON DMD

Provider Business Mailing Address
First Line	:	9775 SAINT CHARLES ROCK RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63114-2635
Country	:	US
Telephone Number	:	314-427-7400
Fax Number	:	314-427-6491

Provider Business Practice Location Address
First Line	:	9775 SAINT CHARLES ROCK RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63114-2635
Country	:	US
Telephone Number	:	314-427-7400
Fax Number	:	314-427-6491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	07/08/2007

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