Individual provider · Type 1 NPI
R Ryan Johansen, DDS
Pediatric Dentistry · West Jordan, UT
NPI number
1992848956
Active
Practice location
7613 Jordan Landing Blvd, Suite 210
West Jordan, UT 84084-1972
Fax (801) 280-1169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 49534949922 (UT) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in West Jordan
About NPI 1992848956
R Ryan Johansen, DDS's National Provider Identifier is 1992848956, issued on Feb 15, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in West Jordan, UT. The record was last updated on Jul 8, 2007.