Provider Demographics
NPI:1457369936
Name:JOHNSON, BARBARA B (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:B
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 W BELL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4814
Mailing Address - Country:US
Mailing Address - Phone:713-526-2904
Mailing Address - Fax:713-526-2191
Practice Address - Street 1:1930 W BELL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-4814
Practice Address - Country:US
Practice Address - Phone:713-526-2904
Practice Address - Fax:713-526-2191
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice