Individual
SCOTT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
478 W 800 N, OREM, UT 84057-3728
(801) 227-0511
Mailing address
478 W 800 N, OREM, UT 84057-3728
(801) 227-0511
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13065309-9923
UT
1223E0200X
Endodontics
D009841
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/17/2015
Last updated
07/18/2023
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