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DR. MARY CAROL JOHNSON DDS
NPI 1164546305
Dentist in Des Moines, IA

Active since March 16, 2007
711 HIGH ST, DES MOINES, IA 50392(515) 362-2676(515) 613-6452 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Carol Johnson Dds NPPES

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

DR. MARY CAROL JOHNSON DDS (NPI 1164546305) is an individual dentist in Des Moines, Iowa, licensed in Iowa (6856) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1164546305
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MARY CAROL JOHNSONCredential: DDS
Location Address711 HIGH STDes Moines, IA 50392-0001
Mailing Address711 High StDes Moines, IA 50392-0001 · (515) 362-2676 · Fax (515) 613-6452
Phone(515) 362-2676
Fax(515) 613-6452
Sole ProprietorYes
Enumeration DateMarch 16, 2007
Last NPPES UpdateSeptember 29, 2009
✔ NPI 1164546305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IA · 6856
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.
711 HIGH ST, Des Moines, IA 50392
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Other Identifiers 2

Other20932IA · Delta Dental Provider #
Medicaid0209320IA

Other Providers at the Same Location NPPES

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

DR. RAYMOND L. WEBSTER M.D.
Preventive Medicine (Aerospace Medicine)
711 HIGH ST
DES MOINES, IA 50392
Polk County (515) 246-7633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1164546305. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Mary Johnson located?

Mary Johnson practices at 711 High St, Des Moines, IA 50392. The listed phone number is (515) 362-2676.

What is Mary Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on September 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.