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Evan Johnson, DMD
NPI 1891756599 · on the registry since 2006
Practice
- Address
- 1520 Elk Crk
Idaho Falls, ID 83404 - Phone
- (208) 522-8854
- Fax
- (208) 535-0551
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
- 2015-05-19
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