Most Relevant Information
Provider Data
| NPI Number: | 1003449265 |
| Provider Name: | SHON JOHNSON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 2901600392 |
Most Important Dates
| Enumeration Date: | 02/17/2020 |
| Last Updated: | 02/17/2020 |
Provider Practice Location
9115 TELEGRAPH RD
TAYLOR
MI
481802365
Practice Location Phone/Fax
| Phone: | 3139081788 |
| Fax: |
Provider Mailing Location
20079 FORESTWOOD ST
SOUTHFIELD
MI
480761740
Provider Mailing Phone/Fax
| Phone: | 2486603892 |
| Fax: |