IndividualActive
Eric Johnson, DDS MS
NPI 1962504563 · Orthodontics and Dentofacial Orthopedics Dentistry · Pocatello, ID
Provider details
- NPI number
- 1962504563
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS MS
- Sex
- Male
- Sole proprietor
- No
- License
- D3054OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
625 E Alameda
Pocatello, ID 83201
Phone: (208) 237-0005
Fax: (208) 237-7982
Approximate (ZIP-level) locationGet directions
Mailing address
625 E Alameda
Pocatello, ID 83201
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.