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Dr. Jeremiah O. Johnson, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Wenatchee, Washington
NPI 1922119189

Jeremiah O. Johnson is a Oral and Maxillofacial Surgery (Dentist) based in Wenatchee, WA and is specialized in Oral and Maxillofacial Surgery. Jeremiah O. Johnson practices in Wenatchee, WA and has the professional credentials of DDS,MD. The NPI Number for Jeremiah O. Johnson is 1922119189 and holds a License No. 60337452 (Washington).

The current practice location address for Jeremiah O. Johnson is 304 N Chelan Ave, Wenatchee, WA and can be reached out via phone at 509-663-0068 and via fax at 509-663-0060.

Location: 304 N Chelan Ave, Wenatchee, WA, 98801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922119189
Provider Name
Jeremiah O. Johnson
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
304 N Chelan Ave, Wenatchee, WA, 98801
Phone Number
509-663-0068
Fax Number
509-663-0060
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2036913 05 WA
institution
Provider Business Practice Location Address Details
Address
304 N Chelan Ave
City
Wenatchee
State
Washington
Zip
98801-2107
Phone Number
509-663-0068
Fax Number
509-663-0060
person
Provider Business Mailing Address Details
Address
304 N Chelan Ave
City
Wenatchee
State
Washington
Zip
98801-2107
Phone Number
509-663-0068
Fax Number
509-663-0060
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
60337452 (Washington)
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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