person
Dr. Jacob Adam Johnson, DDS
Pediatric Dentist in Fort Worth, Texas
NPI 1093964900

Jacob Adam Johnson is a Pediatric Dentist based in Keller, TX and is specialized in Pediatric Dentistry. Jacob Adam Johnson practices in Fort Worth, TX and has the professional credentials of DDS. The NPI Number for Jacob Adam Johnson is 1093964900 and holds a License No. D7748 (Texas).

The current practice location address for Jacob Adam Johnson is 3050 Sycamore School Rd, Fort Worth, TX and can be reached out via phone at 817-370-0021.

Location: 3050 Sycamore School Rd, Fort Worth, TX, 76248-6868
person
Provider Profile Details
NPI Number
1093964900
Provider Name
Jacob Adam Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3050 Sycamore School Rd, Fort Worth, TX, 76248-6868
Phone Number
817-370-0021
Fax Number
Provider Enumeration Date
09/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3050 Sycamore School Rd
City
State
Zip
76133
Phone Number
817-370-0021
Fax Number
person
Provider Business Mailing Address Details
Address
3050 Sycamore School Rd
City
State
Zip
76133
Phone Number
817-370-0021
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D7748 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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