Individual provider · Type 1 NPI

Lane Johnson

Dentist · Travis Afb, CA

NPI number 1639623366 Active

Practice location

151 Bodin Cir
Travis Afb, CA 94535-1801

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	30.24851 (OH)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1639623366

Lane Johnson's National Provider Identifier is 1639623366, issued on Aug 11, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Travis Afb, CA. The record was last updated on Aug 11, 2016.