Individual provider · Type 1 NPI

Jeffrey W. Johnson, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID

NPI number 1821130253 Active

Practice location

333 S Woodruff Ave
Idaho Falls, ID 83401-4322

Fax (208) 523-9004

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD3190OR (ID)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X8041458 (UT)

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 1821130253

Jeffrey W. Johnson, DDS, MS's National Provider Identifier is 1821130253, issued on Feb 13, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 20, 2011.