Dr. Shannan Michelle Johnson
Periodontist
2501 Capehart Rd
Offutt Afb
, Nebraska 68113-1043
Dr. Shannan Michelle Johnson
Periodontist
2501 Capehart Rd
Offutt Afb
, Nebraska 68113-1043
(402) 294-3212
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Shannan Michelle Johnson
- 2501 Capehart Rd
- Offutt Afb, NE
- Zip : 68113-1043
- Phone : (402) 294-3212
Second Address
- Dr. Shannan Michelle Johnson
- 2501 Capehart Rd
- Offutt Afb, NE
- Zip : 68113-1043
- Phone : (402) 294-3212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 7502 | NE |
National Provider Identifier
| NPI | 1114259868 |
|---|---|
| Provider Name | Dr. Shannan Michelle Johnson |
| First Address | Offutt Afb, NE 68113-1043 |
| Second Address | Offutt Afb, NE 68113-1043 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2010 |
| Last Update Date | 05/12/2019 |
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.