Individual provider · Type 1 NPI

Larry Johnson, DDS

General Practice Dentistry · Champaign, IL

NPI number 1356472765 Active

Practice location

919 W Kirby Ave, Suite 4
Champaign, IL 61821-5121

Call (217) 352-9494 Map

Fax (217) 352-7971

Mailing address

PO Box 3487
Champaign, IL 61826-3487

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1356472765

Larry Johnson, DDS's National Provider Identifier is 1356472765, issued on Mar 8, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.