Individual provider · Type 1 NPI

Casey William Johnson, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Glenwood Springs, CO

NPI number 1164420121 Active

Practice location

2624 Grand Ave, Suite 200
Glenwood Springs, CO 81601-4176

Fax (970) 928-7467

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X7653 (CO)

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 1164420121

Casey William Johnson, DDS's National Provider Identifier is 1164420121, issued on Jul 13, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Glenwood Springs, CO. The record was last updated on Jul 13, 2026.