Individual provider · Type 1 NPI

Evan O. Johnson, DMD

General Practice Dentistry · Idaho Falls, ID

NPI number 1891756599 Active

About NPI 1891756599

Evan O. Johnson, DMD's National Provider Identifier is 1891756599, issued on Mar 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Idaho Falls, ID. The record was last updated on May 19, 2015.