Individual provider · Type 1 NPI

Diane Johnson, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Indianapolis, IN

NPI number 1053397315 Active

Practice location

1121 W Michigan St
Indianapolis, IN 46202-5211

Call (317) 274-7433 Map

Mailing address

203 N Indiana St
Mooresville, IN 46158-1508

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12008858 (IN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1053397315

Diane Johnson, DDS's National Provider Identifier is 1053397315, issued on Dec 19, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 13, 2026.