Individual provider · Type 1 NPI

Grant D. Johnson, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Bedford, TX

NPI number 1083983902 Active

Practice location

2121 Central Dr, Suite 2
Bedford, TX 76021-5884

Fax (817) 283-6929

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X18831 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1083983902

Grant D. Johnson, DDS, M.S.'s National Provider Identifier is 1083983902, issued on Dec 21, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bedford, TX. The record was last updated on Dec 21, 2011.