Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jaclyn Nicole Johnson, DDS

Individual provider Dentist · NPI 1508248022

Dr. Jaclyn Nicole Johnson, DDS is a Dentist in Kingwood, West Virginia. Licensed in West Virginia. Registered with an NPI since 2015.

Licensed in
WV
In the registry since
2015
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

202 Tunnelton St Ste 214
Kingwood, WV 26537-1452
Phone: (304) 329-1989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4171 (WV)

Record details

NPI number1508248022
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 20, 2015
Last updated in NPPESJune 20, 2015
Mailing address202 Tunnelton St, Ste 214, Kingwood, WV 26537-1452

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