Individual provider · Type 1 NPI
Matthew A. Johanson, DMD
Periodontics · Northglenn, CO
NPI number
1194963660
Active
Practice location
11178 Huron St, Ste 100
Northglenn, CO 80234-4370
Fax (303) 457-2405
Mailing address
3215 Geneva St
Denver, CO 80238-3345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 10169 (CO) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
Other periodontics providers in Northglenn
About NPI 1194963660
Matthew A. Johanson, DMD's National Provider Identifier is 1194963660, issued on Jan 21, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Northglenn, CO. The record was last updated on Nov 6, 2013.