Alan Marshall Johnson, DDS

Dentist · O Fallon, MO

Individual Active NPI

NPI number 1417395674

Practice location

126 Triad Ctr W
O Fallon, MO 63366-7541
Phone
(636) 978-2226
Fax
(636) 281-1441

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NPI record

NPI
1417395674
Entity type
Individual (Type 1)
Enumeration date
June 10, 2013
Last updated
June 10, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2012015896 MO

About Dr. Johnson

Alan Marshall Johnson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 126 Triad Ctr W, O Fallon, MO 63366-7541. The NPI number 1417395674 was assigned on June 10, 2013 and the record was last updated on June 10, 2013.

Dr. Johnson lists a license in the registry: #2012015896 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alan Marshall Johnson, DDS?

The NPI number is 1417395674.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (636) 978-2226.

Where is Dr. Johnson located?

126 Triad Ctr W, O Fallon, MO 63366-7541.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 122300000X – Dentist.

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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