Whalio Doctors

NPI 1114259868

Shannan Michelle Johnson, DMD

Practitioner Periodontics Offutt Afb, NE

Practice location

Address
2501 Capehart Rd, Offutt Afb, NE 68113-1043
Phone
(402) 294-3212

Registered specialties

Periodontics Primary
Dental Providers Taxonomy 1223P0300X Licence 7502 (NE)

Registry record

NPI
1114259868
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Feb 2010
Record last updated
5 Dec 2019

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.