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Dr. Jordan Tyler Johnson, DDS
Student in an Organized Health Care Education/Training Program in Clyde, North Carolina
NPI 1932723715

Jordan Tyler Johnson is a Student in an Organized Health Care Education/Training Program based in Clyde, NC. Jordan Tyler Johnson practices in Clyde, NC and has the professional credentials of DDS. The NPI Number for Jordan Tyler Johnson is 1932723715 and holds a License No. (North Carolina).

The current practice location address for Jordan Tyler Johnson is 59 Haywood Park Dr, Clyde, NC and can be reached out via phone at 828-627-1999 and via fax at 828-627-1998.

Location: 59 Haywood Park Dr, Clyde, NC, 28721-4404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932723715
Provider Name
Jordan Tyler Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
59 Haywood Park Dr, Clyde, NC, 28721-4404
Phone Number
828-627-1999
Fax Number
828-627-1998
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
59 Haywood Park Dr
City
Clyde
State
North Carolina
Zip
28721-4404
Phone Number
828-627-1999
Fax Number
828-627-1998
person
Provider Business Mailing Address Details
Address
59 Haywood Park Dr
City
Clyde
State
North Carolina
Zip
28721-4404
Phone Number
828-627-1999
Fax Number
828-627-1998
person
Provider's Taxonomy Details 1
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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