Organization
ALL KIDS DENTAL PEDIATRICS AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY W JOHNSON DDS (PARTNER)
(970) 928-9500
Entity
Organization
Contact information
Practice address
990 AIRPORT RD, RIFLE, CO 81650-8527
(970) 625-9500
(970) 928-7467
Mailing address
2624 GRAND AVE STE 200, GLENWOOD SPRINGS, CO 81601-4676
(970) 928-9500
(970) 928-7467
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/22/2008
Last updated
01/11/2024
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