Most Relevant Information
Provider Data
| NPI Number: | 1003300989 |
| Provider Name: | TIMOTHY CHAPMAN JOHNSON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DEN-DEN-LIC-15423 |
Most Important Dates
| Enumeration Date: | 06/14/2018 |
| Last Updated: | 01/21/2021 |
Provider Practice Location
203 MAIN ST
POLSON
MT
598602119
Practice Location Phone/Fax
| Phone: | 4068830496 |
| Fax: |
Provider Mailing Location
203 MAIN ST
POLSON
MT
598602119
Provider Mailing Phone/Fax
| Phone: | 4068830496 |
| Fax: |