Dr. Jacob Adam Johnson
Pediatric Dentist
3050 Sycamore School Rd
Fort Worth
, Texas 76133
Dr. Jacob Adam Johnson
Pediatric Dentist
3050 Sycamore School Rd
Fort Worth
, Texas 76133
(480) 207-9709
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Jacob Adam Johnson
- 2101 Bradley Dr
- Keller, TX
- Zip : 76248-6868
- Phone : (480) 207-9709
Second Address
- Dr. Jacob Adam Johnson
- 3050 Sycamore School Rd
- Fort Worth, TX
- Zip : 76133
- Phone : (817) 370-0021
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 34630 | TX |
| N | 1223P0221X | Pediatric Dentist | D7748 | AZ |
National Provider Identifier
| NPI | 1093964900 |
|---|---|
| Provider Name | Dr. Jacob Adam Johnson |
| First Address | Keller, TX 76248-6868 |
| Second Address | Fort Worth, TX 76133 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2008 |
| Last Update Date | 20/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.