Provider Demographics
NPI:1447488846
Name:JOHNSON, ERIK H (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:H
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-3286
Mailing Address - Country:US
Mailing Address - Phone:406-494-9300
Mailing Address - Fax:406-494-7772
Practice Address - Street 1:2823 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-3286
Practice Address - Country:US
Practice Address - Phone:406-494-9300
Practice Address - Fax:406-494-7772
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019028025122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist