Individual provider · Type 1 NPI
Austin C. Johnson, DDS
General Practice Dentistry · Apo, AA
NPI number
1770063208
Active
Practice location
12720 Kansas Ave, Boak Dental Clinic Fort Leonard Wood
Apo, AA 65584
Mailing address
140 Ridgeview Dr
St. Robert, MO 65584-8614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DS0000010769 (TN) |
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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- Jacqueline D. Massouda, D.M.DGeneral Practice Dentistry Apo, AA NPI 1336695535
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About NPI 1770063208
Austin C. Johnson, DDS's National Provider Identifier is 1770063208, issued on Aug 15, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Apo, AA. The record was last updated on Aug 15, 2018.