OrganizationActive
Alice J Johnson, DDS, PA
NPI 1164707972 · Dental Clinic/Center · Austin, TX
Provider details
- NPI number
- 1164707972
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alice Johnson, President/Owner(512) 452-2195
- License
- 17654 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5802 Berkamn Dr
Suite B
Austin, TX 78723-2625
Phone: (512) 452-2195
Fax: (512) 452-1871
Approximate (ZIP-level) locationGet directions
Mailing address
5802 Berkamn Dr
Austin, TX 78723-2625
Registry dates
- Enumerated
- 2011-10-13
- Last updated
- 2011-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.