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Kevin Johnson, D.D.S

NPI 1740615293 · on the registry since 2013 · sole proprietor

Practice

Address: 1310 Ponderosa Dr
Sandpoint, ID 83864
Phone: (208) 263-7641
Fax: (208) 265-4333
Organisation at this address: John M Ukich
Kevin B. Johnson, Dds
Loftus Family Dental - Sandpoint Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: General Practice Dentistry
1223G0001X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-09-11

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