Individual provider · Type 1 NPI

Jolly Samuel Johnson, DDS

General Practice Dentistry · Fort Collins, CO

NPI number 1407908742 Active

About NPI 1407908742

Jolly Samuel Johnson, DDS's National Provider Identifier is 1407908742, issued on Jan 17, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Collins, CO. The record was last updated on Nov 2, 2020.