KETTLE FALLS FAMILY DENTISTRY
NPI 1184082455
Dentist - General Practice in Kettle Falls, WA

Active since February 02, 2016
130 W 10TH AVE, KETTLE FALLS, WA 99141(509) 738-6880(509) 738-6824 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kettle Falls Family Dentistry NPPES

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

KETTLE FALLS FAMILY DENTISTRY (NPI 1184082455) is a healthcare organization registered as a general practice in Kettle Falls, Washington and active in the NPI registry since February 2016. The organization lists Thomas B Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1184082455
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHOMAS B JOHNSON DMD PLLC
Location Address130 W 10TH AVEKettle Falls, WA 99141-8666
Mailing Address130 W 10th AveKettle Falls, WA 99141-8666 · (509) 738-6880 · Fax (509) 738-6824
Fax(509) 738-6824
Organization SubpartNo
Authorized OfficialThomas B JohnsonOwner · (509) 738-6880
Enumeration DateFebruary 2, 2016
NPI 1184082455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · DE00011072
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
130 W 10TH AVE, Kettle Falls, WA 99141

Other Names 1

Doing Business AsKettle Falls Family Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist
130 W 10TH AVE
KETTLE FALLS, WA 99141
Dentist (General Practice)
130 W 10TH AVE
KETTLE FALLS, WA 99141

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 Thomas B Johnson Dmd PLLC's NPI number?

The NPI number for Thomas B Johnson Dmd PLLC is 1184082455. It was assigned to this organization in the NPPES registry on February 2, 2016. The provider is doing business as Kettle Falls Family Dentistry.

Where is Thomas B Johnson Dmd PLLC located?

Thomas B Johnson Dmd PLLC is located at 130 W 10th Ave, Kettle Falls, WA 99141. The listed phone number is (509) 738-6880.

What is Thomas B Johnson Dmd PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Thomas B Johnson Dmd PLLC was last updated on February 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.