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Dr. Tara Nicole Johnson, DDS
Pediatric Dentist in Humble, Texas
NPI 1851685697

Tara Nicole Johnson is a Pediatric Dentist based in Humble, TX and is specialized in Pediatric Dentistry. Tara Nicole Johnson practices in Humble, TX and has the professional credentials of DDS. The NPI Number for Tara Nicole Johnson is 1851685697 and holds a License No. (Texas).

The current practice location address for Tara Nicole Johnson is 7810 Fm 1960, Humble, TX and can be reached out via phone at 281-852-1191.

Location: 7810 Fm 1960, Humble, TX, 77346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851685697
Provider Name
Tara Nicole Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
7810 Fm 1960, Humble, TX, 77346
Phone Number
281-852-1191
Fax Number
Provider Enumeration Date
06/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7810 Fm 1960
City
Humble
State
Texas
Zip
77346
Phone Number
281-852-1191
Fax Number
person
Provider Business Mailing Address Details
Address
7810 Fm 1960
City
Humble
State
Texas
Zip
77346
Phone Number
281-852-1191
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
28536 (Texas)
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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