IndividualActive
Diane Johnson, DDS
NPI 1053397315 · Orthodontics and Dentofacial Orthopedics Dentistry · Indianapolis, IN
Provider details
- NPI number
- 1053397315
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- License
- 12008858 (IN)
Practice location
1121 W Michigan St
Indianapolis, IN 46202-5211
Phone: (317) 274-7433
Mailing address
203 N Indiana St
Mooresville, IN 46158-1508
Registry dates
- Enumerated
- 2005-12-19
- Last updated
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.