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General NPI Number Information
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NPI Number | 1659710218
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Entity Type | Individual
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Provider Name | JAROD WILLIAM JOHNSON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2023 CEDAR PLAZA DR
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City | MUSCATINE
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State | IA
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Zip | 52761-2283
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Country | US
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Telephone | 563-607-5979
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Fax | 563-316-2358
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Provider Business Mailing Address
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Address Line | 1741 ARBOR OAKS DR
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City | MUSCATINE
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State | IA
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Zip | 52761-2623
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Country | US
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Telephone | 319-321-5034
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | LL-348-13
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS-09044
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DDS-09044
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License Number State | IA
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