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D. Todd Johnson Dds, Pc
Oral and Maxillofacial Surgery (Dentist) in Broken Arrow, Oklahoma
NPI 1912221052

D. Todd Johnson Dds, Pc is a Oral and Maxillofacial Surgery (Dentist) based in Broken Arrow, OK and is specialized in Oral and Maxillofacial Surgery. D. Todd Johnson Dds, Pc practices in Broken Arrow, OK. The NPI Number for D. Todd Johnson Dds, Pc is 1912221052 and holds a License No. 5019 (Oklahoma).

The current practice location address for D. Todd Johnson Dds, Pc is 4716 W Urbana St, Broken Arrow, OK and can be reached out via phone at 918-449-5800 and via fax at 918-455-8958. You can also correspond with D. Todd Johnson Dds, Pc through the mailing address at 4716 W URBANA ST, BROKEN ARROW, OK - 74012-5997 (mailing address contact number: 918-449-5800).

Location: 4716 W Urbana St, Broken Arrow, OK, 74012-5997
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912221052
Provider Name
D. Todd Johnson Dds, Pc
Credential
Provider Entity Type
Organization
Address
4716 W Urbana St, Broken Arrow, OK, 74012-5997
Phone Number
918-449-5800
Fax Number
918-455-8958
Provider Enumeration Date
03/18/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100091300A 05 OK
institution
Provider Business Practice Location Address Details
Address
4716 W Urbana St
City
Broken Arrow
State
Oklahoma
Zip
74012-5997
Phone Number
918-449-5800
Fax Number
918-455-8958
person
Provider Business Mailing Address Details
Address
4716 W Urbana St
City
Broken Arrow
State
Oklahoma
Zip
74012-5997
Phone Number
918-449-5800
Fax Number
918-455-8958
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5019 (Oklahoma)
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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