Individual provider · Type 1 NPI
Eric D. Johnson, DDS MS
Orthodontics and Dentofacial Orthopedics Dentistry · Pocatello, ID
Practice location
625 E Alameda
Pocatello, ID 83201
Fax (208) 237-7982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D3054OR (ID) |
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 1962504563
Eric D. Johnson, DDS MS's National Provider Identifier is 1962504563, issued on Sep 2, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.