Whalio Doctors

NPI 1114570652

Jeffrey C. Johnson, DDS

Practitioner General Practice Dentistry Hagatna, GU

Practice location

Address
250 Route 4 STE 101, Hagatna, GU 96910-7110
Phone
(671) 646-7982
Fax
(671) 646-7989

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence D829 (GU)

Registry record

NPI
1114570652
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jul 2019
Record last updated
23 Jul 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.