Individual
DR. DAVID WAYNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2800 11TH AVE S, SUITE #24, GREAT FALLS, MT 59405-5263
(406) 761-1091
Mailing address
2800 11TH AVE S, SUITE #24, GREAT FALLS, MT 59405-5263
(406) 761-1091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MT-1451
MT
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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