Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871848598 Individual Practitioner Male Practitioner

Dr. Paul Johnson , DMD

Dentist • Twin Falls, ID

Professional Overview & Biography Verified Profile Summary

Dr. Paul Johnson, DMD is a registered healthcare professional specializing in Dentist in Twin Falls, ID. Practice services are available at 1411 FALLS AVE E STE 1000C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1411 Falls Ave E Ste 1000c

Twin Falls, ID 833013459

Telephone 2087347415
Associated Practice Facility / Clinic
🏢 Smiles 4 Kids, Llc Facility NPI 1811146327

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Twin Falls, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
14 Specialists

Practicing in Twin Falls, ID (448 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D-4745

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA DE60293839

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1023850 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1376901785

Doctor of Dental Surgery

Dr. Ryan Nielson , DDS

Dentist - Pediatric Dentistry

NPI 1558709527

Doctor of Dental Surgery

Dr. Joshua Jenkins , DMD

Dentist - Pediatric Dentistry

NPI 1659682912

Doctor of Dental Medicine

Dr. Andrew Richards , DDS

Dentist - Pediatric Dentistry

NPI 1740643303

Doctor of Dental Surgery

Dr. Trent Pryor , DMD

Dentist - Pediatric Dentistry

NPI 1780813691

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2016

Registered at 1411 FALLS AVE E STE 1000C, TWIN FALLS, ID 833013459 (Tel: 2087347415)

📍
Updated Business Mailing Address October 20, 2016

Registered at 1411 FALLS AVE E STE 1000C, TWIN FALLS, ID 833013459 (Tel: 2087347415)

👤
Provider Name / Credentials Updated October 20, 2016

Recorded as PAUL JOHNSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2016

Dentist (License #D-4745 in ID)

🟢
Initial NPI Registration & Enumeration July 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871848598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2012
Last Update: October 20, 2016
Sole Proprietor: No

Mailing Address

1411 Falls Ave E Ste 1000c

Twin Falls, ID 833013459

Phone: 2087347415

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.