Individual provider · Type 1 NPI
Jacob Lynn Johnson, DMD
Military Health Care Provider · Sheppard Afb, TX
NPI number
1982120895
Active
Practice location
Bldg 1200, 149G W Hart St
Sheppard Afb, TX 76311-7631
Mailing address
5021 Taft Blvd Apt 3302
Wichita Falls, TX 76308-5391
Other practice locations
- 2501 Capehart Rd, Bellevue, NE 68123 · (402) 232-0617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 2017020610 (MO) |
| General Practice Dentistry | 1223G0001X | 34858 (TX) |
| Military Health Care Provider Primary | 171000000X | 34858 (TX) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Sheppard Afb
- Luke Joseph Delain, DOMilitary Health Care Provider Sheppard Afb, TX NPI 1104323468
- George Jay Scherer, OTR/LMilitary Health Care Provider Sheppard Afb, TX NPI 1235115452
- Larry Wayne Groves, PT, ATCMilitary Health Care Provider Sheppard Afb, TX NPI 1457558751
- Colleen DaughertyMilitary Health Care Provider Sheppard Afb, TX NPI 1659359412
- Denis Joseph Nolan, PT, DPT, OCSMilitary Health Care Provider Sheppard Afb, TX NPI 1972602472
About NPI 1982120895
Jacob Lynn Johnson, DMD's National Provider Identifier is 1982120895, issued on Aug 22, 2017. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Sheppard Afb, TX. The record was last updated on Aug 20, 2023.