Kevin B. Johnson, Dds is a Dental Clinic in Sandpoint, Idaho. It is located at 1310 Ponderosa Drive, Sandpoint, ID and its contact number is 208-263-7641. The authorized person for Kevin B. Johnson, Dds is Dr. Kevin Bradley Johnson
who is Dentist Owner of the clinic and their contact number is 208-263-7641. The primary license number for Kevin B. Johnson, Dds is D3287 (Dentist) in Idaho. Kevin B. Johnson, Dds Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Kevin B. Johnson, Dds Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kevin B. Johnson, Dds
Specialization:
Dentistry
Clinic Address:
1310 Ponderosa Drive, Sandpoint, Idaho, 83864
Phone:
208-263-7641
Fax:
208-265-4333
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kevin Bradley Johnson
Position:
Dentist Owner
Contact Number:
208-263-7641
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kevin B. Johnson, Dds clinic are as mentioned below.
NPI Number:
1568516714
NPI Enumeration Date:
23 Jan, 2007
NPI Last Update On:
25 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin B. Johnson, Dds are as mentioned below.
Specialization
License Number
State
Status
Dentist
D3287
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
804280700
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kevin B. Johnson, Dds 1310 Ponderosa Dr Ste A, Sandpoint, Idaho
Zip:
83864-5073
Phone Number:
208-263-7641
Fax Number:
208-265-4333
Patients can reach Kevin B. Johnson, Dds at 1310 Ponderosa Drive, Sandpoint, Idaho or can call to book an appointment on 208-263-7641. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.