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Dr. Jacob Lynn Johnson, DMD
Military Health Care Provider in Sheppard Afb, Texas
NPI 1982120895

Jacob Lynn Johnson is a Military Health Care Provider based in Wichita Falls, TX. Jacob Lynn Johnson practices in Sheppard Afb, TX and has the professional credentials of DMD. The NPI Number for Jacob Lynn Johnson is 1982120895 and holds a License No. 2017020610 (Texas).

The current practice location address for Jacob Lynn Johnson is Bldg 1200, 149G W Hart St, Sheppard Afb, TX and can be reached out via phone at 940-676-4412.

Location: Bldg 1200, 149G W Hart St, Sheppard Afb, TX, 76308-5391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982120895
Provider Name
Jacob Lynn Johnson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Bldg 1200, 149G W Hart St, Sheppard Afb, TX, 76308-5391
Phone Number
940-676-4412
Fax Number
Provider Enumeration Date
08/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Bldg 1200, 149G W Hart St
City
Sheppard Afb
State
Texas
Zip
76311-7631
Phone Number
940-676-4412
Fax Number
person
Provider Business Mailing Address Details
Address
Bldg 1200, 149G W Hart St
City
Sheppard Afb
State
Texas
Zip
76311-7631
Phone Number
940-676-4412
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
34858 (Texas)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
34858 (Texas)
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 3
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
2017020610 (Missouri)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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