Individual provider · Type 1 NPI

Kelly Wade Johnson, DDS

General Practice Dentistry · Lansing, MI

NPI number 1467431932 Active

Practice location

2815 S Pennsylvania Ave, #203
Lansing, MI 48910-3495

Mailing address

5303 S Cedar St
Lansing, MI 48911-3800

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901018145 (MI)

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 1467431932

Kelly Wade Johnson, DDS's National Provider Identifier is 1467431932, issued on Jan 12, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lansing, MI. The record was last updated on Sep 10, 2015.