IndividualActive
Jeffrey Johnson, DDS, MS
NPI 1821130253 · Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID
Provider details
- NPI number
- 1821130253
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D3190OR (ID)
Practice location
333 S Woodruff Ave
Idaho Falls, ID 83401-4322
Phone: (208) 529-3500
Fax: (208) 523-9004
Mailing address
333 S Woodruff Ave
Idaho Falls, ID 83401-4322
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2011-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.