Individual provider · Type 1 NPI

Kissendrah Sue Johnson

Dentist · Isleta, NM

NPI number 1124502984 Active

Practice location

01 Sagebrush Street
Isleta, NM 87022

Fax (502) 869-4881

Mailing address

PO Box 640
Isleta, NM 87022-0640

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDD4977 (NM)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1124502984

Kissendrah Sue Johnson's National Provider Identifier is 1124502984, issued on Sep 18, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Isleta, NM. The record was last updated on Sep 18, 2018.