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Dr. Jeffrey James Johnson, DDS
Pediatric Dentist in Rockford, Illinois
NPI 1598981052

Jeffrey James Johnson is a Pediatric Dentist based in Rockford, IL and is specialized in Pediatric Dentistry. Jeffrey James Johnson practices in Rockford, IL and has the professional credentials of DDS. The NPI Number for Jeffrey James Johnson is 1598981052 and holds a License No. 019 (Illinois).

The current practice location address for Jeffrey James Johnson is 4903 E State St, Rockford, IL and can be reached out via phone at 815-398-2323 and via fax at 815-398-2328.

Location: 4903 E State St, Rockford, IL, 61108-2276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598981052
Provider Name
Jeffrey James Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4903 E State St, Rockford, IL, 61108-2276
Phone Number
815-398-2323
Fax Number
815-398-2328
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4903 E State St
City
Rockford
State
Illinois
Zip
61108-2276
Phone Number
815-398-2323
Fax Number
815-398-2328
person
Provider Business Mailing Address Details
Address
4903 E State St
City
Rockford
State
Illinois
Zip
61108-2276
Phone Number
815-398-2323
Fax Number
815-398-2328
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
019 (Illinois)
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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