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Dr. Kevin Bradley Johnson, DDS
General Practice Dentistry in Sandpoint, Idaho
NPI 1740615293

Kevin Bradley Johnson is a General Practice Dentistry based in Sandpoint, ID and is specialized in General Practice. Kevin Bradley Johnson practices in Sandpoint, ID and has the professional credentials of DDS. The NPI Number for Kevin Bradley Johnson is 1740615293 and holds a License No. D3287 (Idaho).

The current practice location address for Kevin Bradley Johnson is 1310 Ponderosa Dr, Sandpoint, ID and can be reached out via phone at 208-263-7641 and via fax at 208-265-4333.

Location: 1310 Ponderosa Dr, Sandpoint, ID, 83864-5073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740615293
Provider Name
Kevin Bradley Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1310 Ponderosa Dr, Sandpoint, ID, 83864-5073
Phone Number
208-263-7641
Fax Number
208-265-4333
Provider Enumeration Date
09/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1310 Ponderosa Dr
City
Sandpoint
State
Idaho
Zip
83864-5073
Phone Number
208-263-7641
Fax Number
208-265-4333
person
Provider Business Mailing Address Details
Address
1310 Ponderosa Dr
City
Sandpoint
State
Idaho
Zip
83864-5073
Phone Number
208-263-7641
Fax Number
208-265-4333
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D3287 (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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