NPI 1023233657

Robert Byron Johnson, DMD

Practitioner Dentist Fairfax, VA

Practice location

Address: 10640 Main St #300, Fairfax, VA 22030-3821
Phone: (703) 246-9355
Mailing address: 47424 Middle Bluff Pl, Sterling, VA 20165-3101

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 0401007027 (VA)

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Registry record

NPI: 1023233657
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2007
Record last updated: 8 Jul 2007

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.