Donald J Johnson Dds Inc - Medicare Dental Clinic in Coeur D'alene, ID

Donald J Johnson Dds Inc is a medicare enrolled dental clinic (Dentist - General Practice) in Coeur D'alene, Idaho. The current practice location for Donald J Johnson Dds Inc is 114 W Neider Ave, Coeur D'alene, Idaho. For appointments, you can reach them via phone at (208) 667-4551. The mailing address for Donald J Johnson Dds Inc is 114 W Neider Ave, Coeur D'alene, Idaho and phone number is (208) 667-4551.

Donald J Johnson Dds Inc is licensed to practice in Idaho (license number D1677). The clinic also participates in the medicare program and its NPI number is 1205120441. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 667-4551.

Contact Information

Donald J Johnson Dds Inc
114 W Neider Ave
Coeur D'alene
ID 83815-9300
(208) 667-4551
(866) 683-6479

Map and Direction


Dental Care Clinic Profile

Full NameDonald J Johnson Dds Inc
SpecialityDentist
Location114 W Neider Ave, Coeur D'alene, Idaho
Authorized Official Name and PositionDonald J Johnson (OWNER)
Authorized Official Contact2086674551
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Donald J Johnson Dds Inc
114 W Neider Ave
Coeur D'alene
ID 83815-9300

Ph: (208) 667-4551
Donald J Johnson Dds Inc
114 W Neider Ave
Coeur D'alene
ID 83815-9300

Ph: (208) 667-4551

NPI Details:

NPI Number1205120441
Provider Enumeration Date06/06/2011
Last Update Date06/22/2018

Medicare PECOS Information:

Medicare PECOS PAC ID7719164987
Medicare Enrollment IDO20110616000091

Medical Identifiers

Medical identifiers for Donald J Johnson Dds Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205120441NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D1677 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Donald J Johnson Dds Inc acts as a billing entity for following providers:
Provider NameDonald J Johnson
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1629153150
PECOS PAC ID: 8628255890
Enrollment ID: I20110616000147

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Dental Clinics in Coeur D'alene, ID