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

Dr. Jacob Adam Johnson, DDS

Individual provider Pediatric Dentistry · NPI 1093964900

Dr. Jacob Adam Johnson, DDS is a Pediatric Dentistry in Fort Worth, Texas. Works from 3 locations. Licensed in Arizona and Texas.

Licensed in
AZ, TX
In the registry since
2008
Specialties on file
2
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.

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Practice location Address checks out

3050 Sycamore School Rd
Fort Worth, TX 76133
Phone: (817) 370-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1303 S Longmore, Mesa, AZ 85202-9607 — (480) 582-0972
  • 1303 S Longmore, Mesa, AZ 85202-9607 — (480) 582-0972

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 34630 (TX)
Pediatric Dentistry Taxonomy 1223P0221X · Licence D7748 (AZ)

Record details

NPI number1093964900
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 16, 2008
Last updated in NPPESJuly 20, 2019
Mailing address2101 Bradley Dr, Keller, TX 76248-6868

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