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Evan O Johnson, DMD
General Practice Dentistry in Idaho Falls, Idaho
NPI 1891756599

Evan O Johnson is a General Practice Dentistry based in Idaho Falls, ID and is specialized in General Practice. Evan O Johnson practices in Idaho Falls, ID and has the professional credentials of DMD. The NPI Number for Evan O Johnson is 1891756599 and holds a License No. D1853 (Idaho).

The current practice location address for Evan O Johnson is 1520 Elk Crk, Idaho Falls, ID and can be reached out via phone at 208-522-8854 and via fax at 208-535-0551. You can also correspond with Evan O Johnson through the mailing address at 1520 ELK CRK, IDAHO FALLS, ID - 83404-8322 (mailing address contact number: 208-522-8854).

Location: 1520 Elk Crk, Idaho Falls, ID, 83404-8322
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Provider Profile Details
NPI Number
1891756599
Provider Name
Evan O Johnson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1520 Elk Crk, Idaho Falls, ID, 83404-8322
Phone Number
208-522-8854
Fax Number
208-535-0551
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001263500 05 ID
institution
Provider Business Practice Location Address Details
Address
1520 Elk Crk
City
State
Zip
83404-8322
Phone Number
208-522-8854
Fax Number
208-535-0551
person
Provider Business Mailing Address Details
Address
1520 Elk Crk
City
State
Zip
83404-8322
Phone Number
208-522-8854
Fax Number
208-535-0551
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
D1853 (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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