IndividualActive
Cole Johnson, DMD
NPI 1053605246 · Orthodontics and Dentofacial Orthopedics Dentistry · Salem, OR
Provider details
- NPI number
- 1053605246
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D9527 (OR)
Specialties & taxonomies
Dental Providers
Practice location
2755 Commercial St Se Ste 200
Salem, OR 97302-4991
Phone: (503) 967-6665
Fax: (503) 385-8471
Approximate (ZIP-level) locationGet directions
Mailing address
2755 Commercial St Se Ste 200
Salem, OR 97302-4991
Registry dates
- Enumerated
- 2011-06-05
- Last updated
- 2017-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.