Jacob Adam Johnson, D.D.S.

Pediatric Dentistry · Fort Worth, TX

Individual Active NPI

NPI number 1093964900

Practice location

3050 Sycamore School Rd
Fort Worth, TX 76133
Phone
(817) 370-0021

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NPI record

NPI
1093964900
Entity type
Individual (Type 1)
Enumeration date
September 16, 2008
Last updated
July 20, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 34630 TX
Pediatric Dentistry 1223P0221X D7748 AZ

Mailing address

2101 Bradley Dr
Keller, TX 76248-6868
Phone
(480) 207-9709

Other practice locations (2)

  • 1303 S Longmore, suite 101, Mesa, AZ 85202-9607 · (480) 582-0972
  • 1303 S Longmore, suite 101, Mesa, AZ 85202-9607 · (480) 582-0972

About Dr. Johnson

Jacob Adam Johnson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 3050 Sycamore School Rd, Fort Worth, TX 76133. The NPI number 1093964900 was assigned on September 16, 2008 and the record was last updated on July 20, 2019.

Dr. Johnson lists 2 licenses in the registry: #34630 (TX) for Pediatric Dentistry; #D7748 (AZ) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Adam Johnson, D.D.S.?

The NPI number is 1093964900.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (817) 370-0021.

Where is Dr. Johnson located?

3050 Sycamore School Rd, Fort Worth, TX 76133.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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