institution
Alice J Johnson, Dds, Pa
Dental Clinic/Center in Austin, Texas
NPI 1164707972

Alice J Johnson, Dds, Pa is a Dental Clinic/Center based in Austin, TX and is specialized in Dental. Alice J Johnson, Dds, Pa practices in Austin, TX. The NPI Number for Alice J Johnson, Dds, Pa is 1164707972 and holds a License No. 17654 (Texas).

The current practice location address for Alice J Johnson, Dds, Pa is 5802 Berkamn Dr, Austin, TX and can be reached out via phone at 512-452-2195 and via fax at 512-452-1871. You can also correspond with Alice J Johnson, Dds, Pa through the mailing address at 5802 BERKAMN DR, AUSTIN, TX - 78723-2625 (mailing address contact number: 512-452-2195).

Location: 5802 Berkamn Dr, Austin, TX, 78723-2625
institution
Provider Profile Details
NPI Number
1164707972
Provider Name
Alice J Johnson, Dds, Pa
Credential
Provider Entity Type
Organization
Address
5802 Berkamn Dr, Austin, TX, 78723-2625
Phone Number
512-452-2195
Fax Number
512-452-1871
Provider Enumeration Date
10/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19922049741 01 TX NPI
institution
Provider Business Practice Location Address Details
Address
5802 Berkamn Dr
City
State
Zip
78723-2625
Phone Number
512-452-2195
Fax Number
512-452-1871
person
Provider Business Mailing Address Details
Address
5802 Berkamn Dr
City
State
Zip
78723-2625
Phone Number
512-452-2195
Fax Number
512-452-1871
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
17654 (Texas)
Definition
Definition to come...
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