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Dr. John A Johnson, DDS
General Practice Dentistry in Craigmont, Idaho
NPI 1609820521

John A Johnson is a General Practice Dentistry based in Craigmont, ID and is specialized in General Practice. John A Johnson practices in Craigmont, ID and has the professional credentials of DDS. The NPI Number for John A Johnson is 1609820521 and holds a License No. D1388 (Idaho).

The current practice location address for John A Johnson is 420 N Division St., Craigmont, ID and can be reached out via phone at 208-924-5830 and via fax at 208-924-7516.

Location: 420 N Division St., Craigmont, ID, 83523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609820521
Provider Name
John A Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
420 N Division St., Craigmont, ID, 83523
Phone Number
208-924-5830
Fax Number
208-924-7516
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0017744400 05 ID
836142 01 ID UNITED CONCORDIA TDP
1000932 01 ID REGENCE BLUE SHIELD
6201-8 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
420 N Division St.
City
Craigmont
State
Idaho
Zip
83523
Phone Number
208-924-5830
Fax Number
208-924-7516
person
Provider Business Mailing Address Details
Address
420 N Division St.
City
Craigmont
State
Idaho
Zip
83523
Phone Number
208-924-5830
Fax Number
208-924-7516
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D1388 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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