JOLLY SAMUEL JOHNSON (NPI# 1407908742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407908742 |
| Entity Type | Individual |
| Full Name | JOLLY SAMUEL JOHNSON |
| Credential | DDS |
| Practice Address |
2132 E Harmony Rd Fort Collins CO 80528-9504 |
| Practice Telephone | 9702873701 |
| Practice Fax Number | 9702873702 |
| Mailing Telephone | 9702873701 |
| Mailing Fax Number | 9702873702 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9112 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 57683255 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982975793 | Jolly Michael Johnson | Dentist | 7515 Main St, Suite 230, Houston, TX 77030-4519 | 2012-01-25 |
| Street Address |
2132 E HARMONY RD |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-9504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235846 | Harmony Dental Partners LLP | Dentist | 2132 E Harmony Rd, Fort Collins, CO 80528-9504 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252773 | Aaron Robert Welch | Dentist | 356 E Harmony Rd Unit 6a, Fort Collins, CO 80525-5960 | 2020-07-21 |
| 1376197046 | My Local Colorado Dental Practice, LLC | Dentist | 3541 E Harmony Rd Ste 130, Fort Collins, CO 80528-8816 | 2019-07-30 |
| 1306405212 | Ashley May Zimm | Dentist | 3838 S Timberline Rd, Fort Collins, CO 80525-3415 | 2019-06-13 |
| 1578049839 | Scott Mcnairy Dds Pllc | Dentist | 1136 E Stuart St Ste 3140, Fort Collins, CO 80525-1196 | 2018-07-19 |
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1356722748 | Modern Dental Professionals Co PC | Dentist | 3531 S College Ave Unit 110, Fort Collins, CO 80525-2642 | 2015-06-11 |
| 1689092835 | Perfect Teeth - North College P.C. | Dentist | 1856 N. College Avenue, Ste 110, Fort Collins, CO 80524 | 2014-04-04 |
| 1780011221 | Spring Creek Dental Pllc | Dentist | 2001 South Shields Street, Bldg. C-1, Fort Collins, CO 80526 | 2013-09-30 |
| 1558622027 | Robert E Gartland | Dentist | 202 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2012-05-31 |
| 1619259124 | Brenna Behrens | Dentist | 1102 E Lincoln Ave Unit B, Fort Collins, CO 80524-2521 | 2011-09-12 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
Please comment or provide details below to improve the information on JOLLY SAMUEL JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.