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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB LYNN JOHNSON, DMD

Active Sole Proprietor

DR. JACOB LYNN JOHNSON, DMD is a Military Health Care Provider healthcare provider located in SHEPPARD AFB, Texas. NPI 1982120895 is currently active in the NPPES registry. Verify at CMS.

Military Health Care Provider · SHEPPARD AFB, TX

Registration Details

NPI Number
1982120895
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2017 (8.7972581743493 yrs)
Last Updated
Aug 20, 2023
Licenses
2017020610 (MO)
34858 (TX)
34858 (TX)
Sole Proprietor
Yes

Practice Information

Address
BLDG 1200, 149G W HART ST
SHEPPARD AFB, TX, 763117631
Browse TX providers · Browse ZIP 76311
Phone
9406764412
Primary Specialty
Military Health Care Provider
171000000X
Additional Specialty
General Dentistry
Additional Specialty
Military Health Care Provider

Other Military Health Care Provider Providers in SHEPPARD AFB, TX

Name Credential NPI
MR. GEORGE JAY SCHERER OTR/L 1235115452
COLLEEN DAUGHERTY 1659359412
MR. DENIS JOSEPH NOLAN PT, DPT, OCS 1972602472
MR. LARRY WAYNE GROVES PT, ATC 1457558751
DR. LUKE JOSEPH DELAIN DO 1104323468
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.