Individual
CHRISTOPHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6620 CAMDEN BLVD, FOUNTAIN, CO 80817-2505
(719) 631-6136
(719) 931-5556
Mailing address
6620 CAMDEN BLVD, FOUNTAIN, CO 80817-2505
(719) 722-4999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
149
NE
1223P0221X
Pediatric Dentistry
149
NE
1223P0221X
Pediatric Dentistry
Primary
203820
CO
Other
Enumeration date
10/11/2017
Last updated
07/28/2025
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