| Bird and Johnson Oral Surgery | |
|
96 Willard St Ste 105 Cocoa FL 32922-7945 | |
| (321) 291-5196 | |
| Not Available |
| Full Name | Bird and Johnson Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 96 Willard St Ste 105, Cocoa, Florida |
| Authorized Official Name and Position | Jay a Johnson (OWNER/ORAL SURGEON) |
| Authorized Official Contact | 3212915196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bird and Johnson Oral Surgery 96 Willard St Ste 105 Cocoa FL 32922-7945 Ph: (321) 291-5196 | Bird and Johnson Oral Surgery 96 Willard St Ste 105 Cocoa FL 32922-7945 Ph: (321) 291-5196 |
| NPI Number | 1831917970 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831917970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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