IndividualActive
Lynn Johnson, DDS
NPI 1285696708 · General Practice Dentistry · Kirtland Afb, NM
Provider details
- NPI number
- 1285696708
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 105419 (CO)
Specialties & taxonomies
Dental Providers
Practice location
2050 2nd St Se
Kirtland Afb, NM 87117-5524
Phone: (505) 846-2466
Approximate (ZIP-level) locationGet directions
Mailing address
11217 Woodmar Ln Ne
Albuquerque, NM 87111-6510
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2007-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.