John Joseph Johnson, DDS
Dentist in Lewiston, ID. Individual provider (NPI-1).
NPI number1003189366
StatusActive
Last updated in NPPESFeb 17, 2012
Details
- NPI
- 1003189366
- Entity type
- Individual (NPI-1)
- Name
- John Joseph Johnson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2012
- Last updated
- Feb 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D-3189 | ID | Yes |
Practice location
3510 12th StreetSuite #600
Lewiston, ID 83501
Phone 208-798-7955 · Fax 208-798-7957
Mailing address
3510 12th StreetSuite #600
Lewiston, ID 83501
Phone 208-798-7955 · Fax 208-798-7957
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All 13 Dentist providers in Lewiston · All 1,076 providers in Lewiston
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