NPI 1003300989

Timothy Chapman Johnson, DDS

Practitioner Dentist Polson, MT

Practice location

Address: 203 Main St, Polson, MT 59860-2119
Phone: (406) 883-0496

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DEN-DEN-LIC-15423 (MT)

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Registry record

NPI: 1003300989
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2018
Record last updated: 21 Jan 2021

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.