Kissendrah Sue Johnson is a Isleta, New Mexico based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kissendrah Sue Johnson is DD4977 for Dentistry in New Mexico. Her current practice location is 01 Sagebrush Street, Isleta. Patients can reach her at 505-869-4866.
Kissendrah Sue Johnson is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kissendrah Sue Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kissendrah Sue Johnson
Specialization:
Dentist
Gender:
Female
Accepts Medicare Assignment:
No
Practice Address:
01 Sagebrush Street, Isleta, New Mexico, 87022
Phone:
505-869-4866
Fax:
502-869-4881
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 are as mentioned below.
NPI Number:
1124502984
NPI Enumeration Date:
18 Sep, 2018
NPI Last Update On:
18 Sep, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kissendrah Sue Johnson are as mentioned below.
License Number
Specialization
State
Status
DD4977
Dentistry
New Mexico
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kissendrah Sue Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DD4977
Other
New Mexico
LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 640, Isleta, New Mexico
Zip:
87022-0640
Phone Number:
505-869-3200
Fax Number:
505-869-4881
Patients can reach Kissendrah Sue Johnson at 01 Sagebrush Street, Isleta, New Mexico or can call to book an appointment on 505-869-4866. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.