NPI 1104672955

Chakeema Shante Johnson, DENTALASSISTANT

Practitioner Dental Assistant Tinton Falls, NJ

Practice location

Address: 1029 Sycamore Ave, Tinton Falls, NJ 07724-3186
Phone: (732) 963-8680

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1104672955
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2024
Record last updated: 24 Apr 2024

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.