Dr. Mary Ann Johnson
Dentist Dentist - General Practice
320 Comanche St.
Kiowa
, Colorado 80117
Dr. Mary Ann Johnson
Dentist Dentist - General Practice
320 Comanche St.
Kiowa
, Colorado 80117
(719) 632-5700
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About
Features
Specialties
- Dentist
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Mary Ann Johnson
- 3205 N Academy Blvd Suite 130
- Colorado Springs, CO
- Zip : 80917-5147
- Phone : (719) 632-5700
Second Address
- Dr. Mary Ann Johnson
- 320 Comanche St.
- Kiowa, CO
- Zip : 80117
- Phone : (720) 389-9763
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | DEN.00202717 | CO |
| N | 122300000X | Dentist | DN011093 | GA |
| Y | 1223G0001X | General Practice | DEN.00202717 | CO |
| Y | 213EG0000X | General Practice | DEN.00202717 | CO |
National Provider Identifier
| NPI | 1003286055 |
|---|---|
| Provider Name | Dr. Mary Ann Johnson |
| First Address | Colorado Springs, CO 80917-5147 |
| Second Address | Kiowa, CO 80117 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2015 |
| Last Update Date | 04/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 80200079 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.