Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KISSENDRAH SUE JOHNSON
ActiveKISSENDRAH SUE JOHNSON is a Dentist healthcare provider located in ISLETA, New Mexico. NPI 1124502984 is currently active in the NPPES registry. Verify at CMS.
Dentist · ISLETA, NM
Registration Details
- NPI Number
- 1124502984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2018 (7.8815462503912 yrs)
- Last Updated
- Sep 18, 2018
- License
-
DD4977 (NM)
Practice Information
- Address
-
01 SAGEBRUSH STREETISLETA, NM, 87022Browse NM providers · Browse ZIP 87022
- Phone
- 5058694866
- Fax
- 5028694881
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ISLETA, NM
| Name | Credential | NPI |
|---|---|---|
| STEPHEN HUBBERT | DDS | 1285714121 |
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.