KISSENDRAH SUE JOHNSON - NPI 1124502984

Q: What is Kissendrah Johnson's NPI number?

The NPI number for Kissendrah Johnson is 1124502984. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Q: What is Kissendrah Johnson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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About Kissendrah Sue Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KISSENDRAH SUE JOHNSON (NPI 1124502984) is an individual dentist in Isleta, New Mexico, licensed in New Mexico (DD4977) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1124502984

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKISSENDRAH SUE JOHNSON

Location Address01 SAGEBRUSH STREETIsleta, NM 87022

Mailing AddressPo Box 640Isleta, NM 87022-0640 · (505) 869-3200 · Fax (505) 869-4881

Phone(505) 869-4866

Fax(502) 869-4881

Sole ProprietorNo

Enumeration DateSeptember 18, 2018

✔ NPI 1124502984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NM · DD4977

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

01 SAGEBRUSH STREET, Isleta, NM 87022

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Other Identifiers 1

OtherDD4977NM · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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