DR. DWIGHT LAYNE JOHNSON D.M.D. M.S. NPI 1043297153

NPI Information

NPI: 1043297153
Provider Name: DR. DWIGHT LAYNE JOHNSON, D.M.D., M.S.
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
1045 E STEWART AVE BLDG 2012T
21ST MEDICAL GROUP
PETERSON AFB, CO
ZIP 80914
Phone: (719) 556-1333
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DR. Dwight Layne Johnson, D.M.D., M.S. is a periodontics dentist in Peterson Afb, CO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Dwight Layne Johnson, D.M.D., M.S. NPI is 1043297153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1045 E STEWART AVE BLDG 2012T
21ST MEDICAL GROUP
PETERSON AFB, CO
ZIP 80914-900
Phone: (719) 556-1333

The enumeration date for this NPI number is 12/29/2005 and was last updated on 3/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	D-3382	IDAHO	No
2	1223P0300X	Dentist	Periodontics	376097-9921	UTAH	No
3	1223P0300X	Dentist	Periodontics	DE00010960	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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