NPI 1053605246 · live from the CMS NPI Registry
Cole R Johnson, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Salem, OR. National Provider Identifier 1053605246, active.
NPI record
| NPI | 1053605246 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2755 Commercial St Se Ste 200, Salem, OR 97302 |
| Practice phone | 503-967-6665 |
| Enumerated | June 5, 2011 |
| Last updated | January 27, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D9527 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.