# THOMAS B JOHNSON DMD PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** KETTLE FALLS FAMILY DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184082455
- **Authorized official:** DR. THOMAS B JOHNSON DMD (OWNER)
- **Authorized official phone:** (509) 738-6880

## Contact information

- **Practice address:** 130 W 10TH AVE, KETTLE FALLS, WA 99141-8666
- **Practice address phone:** (509) 738-6880
- **Practice address fax:** (509) 738-6824
- **Mailing address:** 130 W 10TH AVE, KETTLE FALLS, WA 99141-8666
- **Mailing address phone:** (509) 738-6880
- **Mailing address fax:** (509) 738-6824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00011072 | WA | Yes |

## Other

- **Enumeration date:** 02/02/2016
- **Last updated:** 02/02/2016