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

Kissendrah Sue Johnson

Individual provider Dentist · NPI 1124502984

Kissendrah Sue Johnson is a Dentist in Isleta, New Mexico. Licensed in New Mexico. Registered with an NPI since 2018.

Licensed in
NM
In the registry since
2018
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Practice location Address checks out

01 Sagebrush St
Isleta, NM 87022
Phone: (505) 869-4866
Fax: (502) 869-4881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DD4977 (NM)

Record details

NPI number1124502984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESSeptember 18, 2018

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