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Nicole Johnson, DDS
Pediatric Dentist in Upper Arlington, Ohio
NPI 1740600105

Nicole Johnson is a Pediatric Dentist based in Upper Arlington, OH and is specialized in Pediatric Dentistry. Nicole Johnson practices in Upper Arlington, OH and has the professional credentials of DDS. The NPI Number for Nicole Johnson is 1740600105 and holds a License No. (Ohio).

The current practice location address for Nicole Johnson is 1600 W Lane Ave Unit 310, Upper Arlington, OH and can be reached out via phone at 847-401-0182.

Location: 1600 W Lane Ave Unit 310, Upper Arlington, OH, 43221-3966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740600105
Provider Name
Nicole Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1600 W Lane Ave Unit 310, Upper Arlington, OH, 43221-3966
Phone Number
847-401-0182
Fax Number
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1600 W Lane Ave Unit 310
City
Upper Arlington
State
Ohio
Zip
43221-3966
Phone Number
847-401-0182
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W Lane Ave Unit 310
City
Upper Arlington
State
Ohio
Zip
43221-3966
Phone Number
847-401-0182
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30.024301 (Ohio)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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