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Dr. Kelly Wade Johnson, DDS
General Practice Dentistry in Lansing, Michigan
NPI 1467431932

Kelly Wade Johnson is a General Practice Dentistry based in Lansing, MI and is specialized in General Practice. Kelly Wade Johnson practices in Lansing, MI and has the professional credentials of DDS. The NPI Number for Kelly Wade Johnson is 1467431932 and holds a License No. 2901018145 (Michigan).

The current practice location address for Kelly Wade Johnson is 2815 S Pennsylvania Ave, Lansing, MI and can be reached out via phone at 517-272-4150. You can also correspond with Kelly Wade Johnson through the mailing address at 5303 S CEDAR ST, LANSING, MI - 48911-3800 (mailing address contact number: 517-272-4150).

Location: 2815 S Pennsylvania Ave, Lansing, MI, 48911-3800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467431932
Provider Name
Kelly Wade Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2815 S Pennsylvania Ave, Lansing, MI, 48911-3800
Phone Number
517-272-4150
Fax Number
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1385419 01 MI UNITED CONCORDIA
161661900 01 MI DELTA DENTAL
161661900 01 MI BLUE CROSS BLUE SHIELD
4530810 05 MI
institution
Provider Business Practice Location Address Details
Address
2815 S Pennsylvania Ave
City
Lansing
State
Michigan
Zip
48910-3495
Phone Number
517-272-4150
Fax Number
person
Provider Business Mailing Address Details
Address
5303 S Cedar St
City
Lansing
State
Michigan
Zip
48911-3800
Phone Number
517-272-4150
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901018145 (Michigan)
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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