| Johnson And Associates Dds Pc | |
|
200 Plaza Blvd Fountain CO 80817-2504 | |
| (719) 392-4201 | |
| (719) 391-7873 |
| Full Name | Johnson And Associates Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 Plaza Blvd, Fountain, Colorado |
| Authorized Official Name and Position | Jeff O Johnson (OWNER) |
| Authorized Official Contact | 7193924201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson And Associates Dds Pc 200 Plaza Blvd Fountain CO 80817-2504 Ph: (719) 392-4201 | Johnson And Associates Dds Pc 200 Plaza Blvd Fountain CO 80817-2504 Ph: (719) 392-4201 |
| NPI Number | 1467661967 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467661967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7123 (Colorado) | Primary |
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