person
Jacob Johnson, DMD
General Practice Dentistry in Sanford, Florida
NPI 1982063228

Jacob Johnson is a General Practice Dentistry based in Sanford, FL and is specialized in General Practice. Jacob Johnson practices in Sanford, FL and has the professional credentials of DMD. The NPI Number for Jacob Johnson is 1982063228 and holds a License No. (Florida).

The current practice location address for Jacob Johnson is 4930 E Lake Mary Blvd, Sanford, FL and can be reached out via phone at 407-322-8645. You can also correspond with Jacob Johnson through the mailing address at 4930 E LAKE MARY BLVD, SANFORD, FL - 32771-5003 (mailing address contact number: 407-322-8645).

Location: 4930 E Lake Mary Blvd, Sanford, FL, 32771-5003
person
Provider Profile Details
NPI Number
1982063228
Provider Name
Jacob Johnson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4930 E Lake Mary Blvd, Sanford, FL, 32771-5003
Phone Number
407-322-8645
Fax Number
Provider Enumeration Date
02/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4930 E Lake Mary Blvd
City
State
Zip
32771-5003
Phone Number
407-322-8645
Fax Number
person
Provider Business Mailing Address Details
Address
4930 E Lake Mary Blvd
City
State
Zip
32771-5003
Phone Number
407-322-8645
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
HAD110 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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