Individual provider · Type 1 NPI

Jeremiah O. Johnson, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Wenatchee, WA

NPI number 1922119189 Active

Practice location

304 N Chelan Ave
Wenatchee, WA 98801-2107

Fax (509) 663-0060

Mailing address

620 N. Emerson Ave, Suite #101
Wenatchee, WA 98801

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X60337452 (WA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1922119189

Jeremiah O. Johnson, DDS, MD's National Provider Identifier is 1922119189, issued on Aug 31, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Wenatchee, WA. The record was last updated on Feb 26, 2020.