| Branon D Johnson Dds Pc | |
|
170 E. Avenue Limon CO 80828 | |
| (719) 775-8758 | |
| Not Available |
| Full Name | Branon D Johnson Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 170 E. Avenue, Limon, Colorado |
| Authorized Official Name and Position | Branon Johnson (OWNER/DENTIST) |
| Authorized Official Contact | 7197758758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branon D Johnson Dds Pc Po Box 309 Limon CO 80828-0309 Ph: (719) 775-8758 | Branon D Johnson Dds Pc 170 E. Avenue Limon CO 80828 Ph: (719) 775-8758 |
| NPI Number | 1174950216 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174950216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8115 (Colorado) | Primary |
Limon Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 1st St, Limon, CO 80828 Phone: 719-775-0300 Fax: 719-775-0302 |