Kevin Bradley Johnson, D.D.S.

General Practice Dentistry · Sandpoint, ID

Individual Active NPI

NPI number 1740615293

Practice location

1310 Ponderosa Dr
Sandpoint, ID 83864-5073
Phone
(208) 263-7641
Fax
(208) 265-4333

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NPI record

NPI
1740615293
Entity type
Individual (Type 1)
Enumeration date
September 3, 2013
Last updated
September 11, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D3287 ID

About Dr. Johnson

Kevin Bradley Johnson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1310 Ponderosa Dr, Sandpoint, ID 83864-5073. The NPI number 1740615293 was assigned on September 3, 2013 and the record was last updated on September 11, 2013.

Dr. Johnson lists a license in the registry: #D3287 (ID) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Bradley Johnson, D.D.S.?

The NPI number is 1740615293.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (208) 263-7641.

Where is Dr. Johnson located?

1310 Ponderosa Dr, Sandpoint, ID 83864-5073.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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