Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOLLY SAMUEL JOHNSON, DDS
ActiveJOLLY SAMUEL JOHNSON, DDS is a General Dentistry healthcare provider located in FORT COLLINS, Colorado. NPI 1407908742 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FORT COLLINS, CO
Registration Details
- NPI Number
- 1407908742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2007 (19.774182344819 yrs)
- Last Updated
- Nov 2, 2020
- License
-
9112 (CO)
Practice Information
- Address
-
2132 E HARMONY RDFORT COLLINS, CO, 805289504Browse CO providers · Browse ZIP 80528
- Phone
- 9702873701
- Fax
- 9702873702
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FORT COLLINS, CO
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH BILLINGS ALLEN | D.D.S. | 1104829118 |
| DR. CARY P. BASNAR | D.D.S. | 1699773903 |
| DR. WESLEY JASON GALYARDT | D.D.S. | 1518965581 |
| MR. TIMOTHY WARREN ANDERSON | DDS | 1407856834 |
| DR. DENNIS LEE SIMCIK | DDS | 1497756225 |
| DR. GEOFF R ENGELHARDT | D.D.S. | 1649271149 |
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.