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Mary A. Johnson, D.M.D.

General Dentistry · Kiowa, CO

UnclaimedD.M.D.NPI 1003286055
Primary taxonomy
1223G0001X
Enumerated
2015-10-02
Practice location
Kiowa, CO
Last NPPES update
2017-04-04

State licenses

  • CO · Practical nurse · PNActivethrough 2028verify
  • CO · Practical nurse · PNExpiredthrough 2018verify
  • CO · Practical nurse · PNExpiredthrough 1984verify
  • CO · Practical nurse · PNExpiredthrough 1996verify
  • CO · Dentist · DENActivethrough 2028verify
  • CO · Dentist · NPPES self-reportedListed on NPI record
  • GA · Dentist · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.