ERIC JOHNSON LLC NPI 1881101939

NPI Information

  • NPI: 1881101939
  • Provider Name: ERIC JOHNSON LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: SMILE COLORADO FAMILY DENTAL
  • Address: 9101 PEARL ST #217
    THORNTON, CO
    ZIP 80229
  • Phone: (303) 576-9016

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NPI Details

ERIC JOHNSON LLC is a dental clinic center in Thornton, CO. ERIC JOHNSON LLC NPI is 1881101939. The provider is registered as an organization entity type.
The provider Is Doing Business As Smile Colorado Family Dental.

The provider's business location address is:

9101 PEARL ST #217
THORNTON, CO
ZIP 80229-022
Phone: (303) 576-9016

The provider's authorized official is Eric M Johnson .
The authorized official title is Owner and has the following contact phone number (602) 697-0934.

The enumeration date for this NPI number is 1/10/2018 and was last updated on 1/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental202569COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19000143289MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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