Individual
DR. CHARLES WILLIAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1600 23RD AVE STE 200, GREELEY, CO 80634-6071
(970) 353-4329
(970) 353-0526
Mailing address
1600 23RD AVE STE 200, GREELEY, CO 80634-6071
(970) 353-4329
(970) 353-0526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7049
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7049
DENTAL LICENSE NUMBER
CO
Enumeration date
07/13/2005
Last updated
03/07/2023
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