IndividualActive
Kelly Johnson, DDS
NPI 1891706529 · Orthodontics and Dentofacial Orthopedics Dentistry · Tripler Army Medical Center, HI
Provider details
- NPI number
- 1891706529
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 5336421-9922 (UT)
Practice location
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone: (808) 655-8825
Mailing address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2023-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.