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

MATTHEW A JOHANSON, D.M.D.

Active

MATTHEW A JOHANSON, D.M.D. is a Periodontology healthcare provider located in NORTHGLENN, Colorado. NPI 1194963660 is currently active in the NPPES registry. Verify at CMS.

Periodontology · NORTHGLENN, CO

Registration Details

NPI Number
1194963660
Provider Type
Individual
Gender
Male
NPI Issued
Jan 21, 2009 (17.517321978241 yrs)
Last Updated
Nov 6, 2013
License
10169 (CO)

Practice Information

Address
11178 HURON ST
STE 100
NORTHGLENN, CO, 802344370
Browse CO providers · Browse ZIP 80234
Phone
3034579617
Fax
3034572405
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in NORTHGLENN, CO

Name Credential NPI
DR. TYLER DALE BORG D.D.S. , M.S. 1780948794
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.