NPI 1891093985 · live from the CMS NPI Registry
Amanda Johnson, DDS, PC
Dentist, General Practice in Dickinson, ND. National Provider Identifier 1891093985, active.
NPI record
| NPI | 1891093985 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 389 15th St W, Dickinson, ND 58601 |
| Practice phone | 701-483-1385 |
| Enumerated | March 14, 2011 |
| Last updated | March 14, 2011 |
| Authorized official | Amanda Johnson, President |
| Other names | Badlands Dental PC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.