IndividualActive
Brent Johnson, DDS
NPI 1356443402 · General Practice Dentistry · Payson, UT
Provider details
- NPI number
- 1356443402
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DEN9263 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
822 Highway 198 Ste a
Payson, UT 84651-3219
Phone: (801) 465-1390
Fax: (018) 465-0406
Approximate (ZIP-level) locationGet directions
Mailing address
822 Highway 198 Ste a
Payson, UT 84651-3219
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2023-01-06
- Certified
- 2023-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.