| John J Johnson Dds Pc | |
|
3510 12th St Suite 600 Lewiston ID 83501 | |
| (208) 798-7955 | |
| (208) 798-7957 |
| Full Name | John J Johnson Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 3510 12th St, Lewiston, Idaho |
| Authorized Official Name and Position | John J Johnson (DENTIST) |
| Authorized Official Contact | 2087987955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Johnson Dds Pc 3510 12th St Suite 600 Lewiston ID 83501 Ph: (208) 798-7955 | John J Johnson Dds Pc 3510 12th St Suite 600 Lewiston ID 83501 Ph: (208) 798-7955 |
| NPI Number | 1265516272 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265516272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | IDAHO D3189 (Idaho) | Primary |
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