Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared C Johnson, DDS

Individual provider General Practice Dentistry · NPI 1710011754

Jared C Johnson, DDS is a General Practice Dentistry in Burley, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1706 Overland Ave
Burley, ID 83318-2436
Phone: (208) 678-2332
Fax: (208) 677-8922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-2079 (ID)

Record details

NPI number1710011754
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESJuly 9, 2007

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