NPI 1699225524

Delaine Tabor Johnson

Practitioner Dental Assistant Ft Gordon, GA

Practice location

Address: Bldg 38801 Academic Dr, Suite B & C USA Dentac, Ft Gordon, GA 30905-5660
Phone: (706) 787-6927
Fax: (706) 787-2082

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1699225524
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2016
Record last updated: 4 Oct 2016

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.