Individual
DR. MARY CAROL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
711 HIGH ST, DES MOINES, IA 50392-0001
(515) 362-2676
(515) 613-6452
Mailing address
711 HIGH ST, DES MOINES, IA 50392-0001
(515) 362-2676
(515) 613-6452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6856
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209320
—
IA
01
—
20932
DELTA DENTAL PROVIDER #
IA
Enumeration date
03/16/2007
Last updated
09/29/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us