Organization
JOHNSON ORTHODONTICS
Active
Parent organization
JOHNSON ORTHODONTICS
Other names
Johnson Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNSON ORTHODONTICS
Authorized official
WARREN JOHNSON DDS (PRES)
(719) 432-9807
Entity
Organization
Contact information
Practice address
5850 TUTT CENTER PT STE 100, COLORADO SPRINGS, CO 80922-3520
(719) 596-3081
Mailing address
5850 TUTT CENTER PT STE 100, COLORADO SPRINGS, CO 80922-3520
(719) 596-3081
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21232571
—
CO
Enumeration date
03/13/2020
Last updated
03/13/2020
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