Jared Johnson, D.D.S

NPI 1710011754 · on the registry since 2007 · sole proprietor

Practice

Address: 1706 Overland Ave
Burley, ID 83318
Phone: (208) 678-2332
Fax: (208) 677-8922
Organisation at this address: Spring Creek Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

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 Idaho