IndividualActive
Craig Johnson, DDS
NPI 1689642878 · Dentist · Big Horn, WY
Provider details
- NPI number
- 1689642878
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 33701 (CA)
Specialties & taxonomies
Dental Providers
Practice location
15 Middle Hideaway Lane
Big Horn, WY 82833-0727
Phone: (307) 673-4787
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 727
Big Horn, WY 82833-0727
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2011-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.