Individual provider · Type 1 NPI

Corey Ivan Johnson, DDS

General Practice Dentistry · Glenwood Springs, CO

NPI number 1215025101 Active

About NPI 1215025101

Corey Ivan Johnson, DDS's National Provider Identifier is 1215025101, issued on Oct 10, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glenwood Springs, CO. The record was last updated on Jul 8, 2007.