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Larry Johnson, DDS
General Practice Dentistry in Champaign, Illinois
NPI 1356472765

Larry Johnson is a General Practice Dentistry based in Champaign, IL and is specialized in General Practice. Larry Johnson practices in Champaign, IL and has the professional credentials of DDS. The NPI Number for Larry Johnson is 1356472765 and holds a License No. (Illinois).

The current practice location address for Larry Johnson is 919 W Kirby Ave, Champaign, IL and can be reached out via phone at 217-352-9494 and via fax at 217-352-7971.

Location: 919 W Kirby Ave, Champaign, IL, 61826-3487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356472765
Provider Name
Larry Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
919 W Kirby Ave, Champaign, IL, 61826-3487
Phone Number
217-352-9494
Fax Number
217-352-7971
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
919 W Kirby Ave
City
Champaign
State
Illinois
Zip
61821-5121
Phone Number
217-352-9494
Fax Number
217-352-7971
person
Provider Business Mailing Address Details
Address
919 W Kirby Ave
City
Champaign
State
Illinois
Zip
61821-5121
Phone Number
217-352-9494
Fax Number
217-352-7971
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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