| H A Johnson Dds Inc | |
|
2475 E 22nd St Suite 204 Cleveland OH 44115-3221 | |
| (216) 566-7770 | |
| (216) 566-7704 |
| Full Name | H A Johnson Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2475 E 22nd St, Cleveland, Ohio |
| Authorized Official Name and Position | Henderson Andrew Johnson (PRESIDENT-OWNER) |
| Authorized Official Contact | 2165667770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H A Johnson Dds Inc 2475 E 22nd St Suite 204 Cleveland OH 44115-3221 Ph: (216) 566-7770 | H A Johnson Dds Inc 2475 E 22nd St Suite 204 Cleveland OH 44115-3221 Ph: (216) 566-7770 |
| NPI Number | 1326258476 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326258476 | NPI | - | NPPES |
| 0668406 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30-017934 (Ohio) | Primary |
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