| Johnson Orthodontics | |
|
15435 Gleneagle Dr Ste 210 Colorado Springs CO 80921-2542 | |
| (719) 572-5150 | |
| Not Available |
| Full Name | Johnson Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15435 Gleneagle Dr Ste 210, Colorado Springs, Colorado |
| Authorized Official Name and Position | Warren Johnson (PRESIDENT) |
| Authorized Official Contact | 7194329807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Orthodontics 5850 Tutt Center Pt Ste 100 Colorado Springs CO 80922-3520 Ph: (719) 432-9807 | Johnson Orthodontics 15435 Gleneagle Dr Ste 210 Colorado Springs CO 80921-2542 Ph: (719) 572-5150 |
| NPI Number | 1003441049 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003441049 | NPI | - | NPPES |
| 21232571 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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› Verified 7 days ago
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