NPI 1003900531

Leslie G. Johnson, DDS

Practitioner Dentist Fort Collins, CO

Practice location

Address: 1025 Robertson Street, Fort Collins, CO 80524
Phone: (970) 493-4313
Fax: (970) 407-8519

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 9251 (CO)

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Registry record

NPI: 1003900531
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 7 Jun 2023

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.