Organization · Type 2 NPI

Alice J Johnson, Dds, PA

Dental Clinic/Center · Austin, TX

NPI number 1164707972 Active

Practice location

5802 Berkamn Dr, Suite B
Austin, TX 78723-2625

Call (512) 452-2195 Map

Fax (512) 452-1871

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X17654 (TX)

Dental Clinic/Center: Definition to come...

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About NPI 1164707972

Alice J Johnson, Dds, PA's National Provider Identifier is 1164707972, issued on Oct 13, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Austin, TX. The record was last updated on Oct 13, 2011.