Provider Demographics
NPI:1902865009
Name:JOHNSON, FRANK NEIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:NEIL
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 SW OAKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1675
Mailing Address - Country:US
Mailing Address - Phone:785-357-7706
Mailing Address - Fax:785-357-0226
Practice Address - Street 1:1244 SW OAKLEY AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1675
Practice Address - Country:US
Practice Address - Phone:785-357-7706
Practice Address - Fax:785-357-0226
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO64961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice