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Blake Johnson, DMD — NPI 1790469229, Taylor, TX | NPI Central

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NPI 1790469229

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Blake Johnson, DMD

NPI 1790469229 · Dentist · Taylor, TX

Provider details

NPI number: 1790469229
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: Yes
License: 39651 (TX)

Specialties & taxonomies

DentistPrimary122300000XLicense 39651 (TX)
Dental Providers
General Practice Dentistry1223G0001XLicense 39651 (TX)
Dental Providers

Practice location

3705 N Main St Ste 200

Taylor, TX 76574-4997

Phone: (512) 595-7439

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

3705 N Main St Ste 200

Taylor, TX 76574-4997

Registry dates

Enumerated: 2023-06-14
Last updated: 2023-06-28
Certified: 2023-06-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.