Tadarrol Andrew Johnson, DDS

Dentist · Festus, MO

Individual Active NPI

NPI number 1972007342

Practice location

860 S Truman Blvd
Festus, MO 63028-3713
Phone
(636) 937-6965
Fax
(636) 937-8607

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NPI record

NPI
1972007342
Entity type
Individual (Type 1)
Enumeration date
March 21, 2018
Last updated
March 21, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2018007650 MO

About Dr. Johnson

Tadarrol Andrew Johnson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 860 S Truman Blvd, Festus, MO 63028-3713. The NPI number 1972007342 was assigned on March 21, 2018 and the record was last updated on March 21, 2018.

Dr. Johnson lists a license in the registry: #2018007650 (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 Tadarrol Andrew Johnson, DDS?

The NPI number is 1972007342.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (636) 937-6965.

Where is Dr. Johnson located?

860 S Truman Blvd, Festus, MO 63028-3713.

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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