NPI 1003003831

Edwina V. Johnson, D.D.S., P.C.

Organisation General Practice Dentistry Oklahoma City, OK

Practice location

Address: 4200 Hemingway Dr, Oklahoma City, OK 73118-2235
Phone: (405) 557-1245

Authorised official

Name: Edwina Virginia Johnson
Title: Dentist
Phone: (405) 557-1245

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence S 4606 (OK)

Other Dentist providers in Oklahoma →

Registry record

NPI: 1003003831
Entity type: Organization
NPI issued: 25 Sep 2007
Record last updated: 18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.