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General NPI Number Information
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NPI Number | 1598604779
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Entity Type | Organization
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Legal Business Name | JOHNSON DENTAL CLINIC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 307 W 6TH AVE STE 204
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City | SPOKANE
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State | WA
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Zip | 99204-2540
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Country | US
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Telephone | 509-838-4321
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Fax |
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Provider Business Mailing Address
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Address Line | 307 W 6TH AVE STE 204
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City | SPOKANE
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State | WA
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Zip | 99204-2540
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Country | US
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Telephone | 509-838-4321
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATHAN LYNN JOHNSON
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Credential | DMD MS
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Telephone | 801-856-2425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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