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Dr. Tyran Eric Johnson, DDS
Oral and Maxillofacial Surgery (Dentist) in Brookfield, Illinois
NPI 1770671414

Tyran Eric Johnson is a Oral and Maxillofacial Surgery (Dentist) based in Brookfield, IL and is specialized in Oral and Maxillofacial Surgery. Tyran Eric Johnson practices in Brookfield, IL and has the professional credentials of DDS. The NPI Number for Tyran Eric Johnson is 1770671414 and holds a License No. 021002224 (Illinois).

The current practice location address for Tyran Eric Johnson is 9240 Broadway Ave, Brookfield, IL and can be reached out via phone at 708-680-7017 and via fax at 708-419-3537.

Location: 9240 Broadway Ave, Brookfield, IL, 60513-1252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770671414
Provider Name
Tyran Eric Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
9240 Broadway Ave, Brookfield, IL, 60513-1252
Phone Number
708-680-7017
Fax Number
708-419-3537
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9240 Broadway Ave
City
Brookfield
State
Illinois
Zip
60513-1252
Phone Number
708-680-7017
Fax Number
708-419-3537
person
Provider Business Mailing Address Details
Address
9240 Broadway Ave
City
Brookfield
State
Illinois
Zip
60513-1252
Phone Number
708-680-7017
Fax Number
708-419-3537
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
021002224 (Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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