NPI 1831236892 · live from the CMS NPI Registry
Dean B Johnson, DMD
Dentist in Lacey, WA. National Provider Identifier 1831236892, active.
NPI record
| NPI | 1831236892 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 4550 3rd Ave Se, Lacey, WA 98503 |
| Practice phone | 855-433-6825 |
| Mailing address | 6950 Ne Campus Way, Hillsboro, OR 97124 |
| Enumerated | January 31, 2007 |
| Last updated | April 16, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | D3933 (ID) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 140755 9921 (UT) |
| Dentist primary | 122300000X | DE00010566 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.