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

Dr. Jeffery Justin Johnson, DMD

Individual provider General Practice Dentistry · NPI 1063424687

Dr. Jeffery Justin Johnson, DMD is a General Practice Dentistry in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

9775 Saint Charles Rock Rd
Saint Louis, MO 63114-2635
Phone: (314) 427-7400
Fax: (314) 427-6491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12260 (MO)

Record details

NPI number1063424687
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESJuly 8, 2007

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