Search › Indiana › 1223E0200X
Cole Johnson
NPI 1093384687 · on the registry since 2021
Practice
- Address
- 2017 S Western Ave
Marion, IN 46953 - Phone
- (317) 910-2089
- Organisation at this address
- Lifetime Dental Care Of Indiana, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana