DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY ANN JOHNSON, D.M.D.

Active Sole Proprietor

DR. MARY ANN JOHNSON, D.M.D. is a General Dentistry healthcare provider located in KIOWA, Colorado. NPI 1003286055 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · KIOWA, CO

Registration Details

NPI Number
1003286055
Provider Type
Individual
Gender
Female
NPI Issued
Oct 2, 2015 (10.864429386425 yrs)
Last Updated
Apr 4, 2017
Licenses
DEN.00202717 (CO)
DN011093 (GA)
DEN.00202717 (CO)
Sole Proprietor
Yes

Practice Information

Address
320 COMANCHE ST.
KIOWA, CO, 80117
Browse CO providers · Browse ZIP 80117
Phone
7203899763
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Dentist
Additional Specialty
Dentist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.