Ryan Daniel Johnson, DMD

Dentist · Springfield, IL

Individual Active NPI

NPI number 1821228131

Practice location

2525 W Iles Ave
Springfield, IL 62704-4283
Phone
(217) 787-7744
Fax
(217) 793-3620

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NPI record

NPI
1821228131
Entity type
Individual (Type 1)
Enumeration date
July 21, 2009
Last updated
November 28, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.028015 IL

About Dr. Johnson

Ryan Daniel Johnson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2525 W Iles Ave, Springfield, IL 62704-4283. The NPI number 1821228131 was assigned on July 21, 2009 and the record was last updated on November 28, 2012.

Dr. Johnson lists a license in the registry: #019.028015 (IL) 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 Ryan Daniel Johnson, DMD?

The NPI number is 1821228131.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (217) 787-7744.

Where is Dr. Johnson located?

2525 W Iles Ave, Springfield, IL 62704-4283.

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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