Provider Demographics
NPI:1063615862
Name:JOHNSON, ERIN LEIGH (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:LEIGH
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 E 29TH AVE
Mailing Address - Street 2:STE 130
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-3917
Mailing Address - Country:US
Mailing Address - Phone:509-315-8500
Mailing Address - Fax:
Practice Address - Street 1:2020 E 29TH AVE
Practice Address - Street 2:STE 130
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-3917
Practice Address - Country:US
Practice Address - Phone:509-315-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE600580991223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry