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

DR. KENT MAX JOHNSON, DDS

Active Sole Proprietor

General Dentistry · PARK CITY, UT

Registration Details

NPI Number
1679662837
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2006 (19.525005420933 yrs)
Last Updated
Jul 8, 2007
License
1434409921 (UT)
Sole Proprietor
Yes

Practice Information

Address
1840 SUN PEAK DR
PARK CITY, UT, 840986732
Browse UT providers · Browse ZIP 84098
Phone
4356580678
Fax
4359401385
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in PARK CITY, UT

Name Credential NPI
DR. JONATHAN F COLEMAN DDS, PC 1609875715
DR. SCOTT M CHANDLER DMD 1699883520
DR. JEFFREY H GORDON I DMD 1285713263
DR. MICHAEL KNIGHT D.D.S. 1396895702
HARINI JINDAL 1447478417
PAUL G. INNIS D.M.D. 1871709790
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.