Individual
DR. DERRIK REID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
303 MAIN ST BLDG C, LYONS, CO 80540-5042
(303) 823-6006
(720) 893-6058
Mailing address
303 MAIN ST BLDG C, LYONS, CO 80540-5042
(303) 823-6006
(720) 893-6058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10045
CO
1223G0001X
General Practice Dentistry
7498
NE
1223G0001X
General Practice Dentistry
D009047
AZ
1223G0001X
General Practice Dentistry
Primary
DEN-10045
CO
Other
Enumeration date
02/05/2010
Last updated
11/27/2023
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