| Robert J. Johnson, DMD, PC | |
|
120 Park Ridge Ln Pekin IL 61554-3900 | |
| (309) 347-7051 | |
| Not Available |
| Full Name | Robert J. Johnson, DMD, PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 120 Park Ridge Ln, Pekin, Illinois |
| Authorized Official Name and Position | Robert J. Johnson (PRESIDENT) |
| Authorized Official Contact | 3093477051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Johnson, DMD, PC 120 Park Ridge Ln Pekin IL 61554-3900 Ph: (309) 347-7051 | Robert J. Johnson, DMD, PC 120 Park Ridge Ln Pekin IL 61554-3900 Ph: (309) 347-7051 |
| NPI Number | 1619009578 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619009578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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