Dwight Johnson

General Practice Dentistry · Grandview, MO

Individual Active NPI

NPI number 1912487505

Practice location

12200 15TH St Ste 106
Grandview, MO 64030-1772
Phone
(816) 398-8046

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NPI record

NPI
1912487505
Entity type
Individual (Type 1)
Enumeration date
August 14, 2018
Last updated
August 14, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2018021651 MO

Mailing address

701 E Armour Blvd Apt 506
Kansas City, MO 64109-2303
Phone
(630) 767-9740

About Dwight Johnson

Dwight Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 12200 15TH St Ste 106, Grandview, MO 64030-1772. The NPI number 1912487505 was assigned on August 14, 2018 and the record was last updated on August 14, 2018.

Dwight Johnson lists a license in the registry: #2018021651 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dwight Johnson?

The NPI number is 1912487505.

What is the phone number of Dwight Johnson?

The phone number listed for the practice location is (816) 398-8046.

Where is Dwight Johnson located?

12200 15TH St Ste 106, Grandview, MO 64030-1772.

What is the taxonomy code for Dwight Johnson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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