Individual provider · Type 1 NPI

Jared C. Johnson, DDS

General Practice Dentistry · Burley, ID

NPI number 1710011754 Active

About NPI 1710011754

Jared C. Johnson, DDS's National Provider Identifier is 1710011754, issued on Mar 14, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Burley, ID. The record was last updated on Jul 9, 2007.