NPI 1265516272

John J Johnson DDS PC

Organisation Dentist Lewiston, ID

Practice location

Address: 3510 12th St Suite 600, Lewiston, ID 83501
Phone: (208) 798-7955
Fax: (208) 798-7957

Authorised official

Name: John J Johnson
Title: Dentist
Phone: (208) 798-7955

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence IDAHO D3189 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1265516272
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.