Individual
DR. SCOTT ALAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1296 E POLSTON AVE STE A, POST FALLS, ID 83854-5217
(208) 773-5121
(208) 777-9484
Mailing address
P.O. BOX 1740, POST FALLS, ID 83877
(208) 773-5121
(208) 777-9484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3122
ID
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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