CRAID DARRELL JOHNSON D.D.S M.S NPI 1780714881

NPI Information

NPI: 1780714881
Provider Name: CRAID DARRELL JOHNSON, D.D.S, M.S
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
511 SW 10TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 241-7782
Get Directions

Craid Darrell Johnson, D.D.S, M.S is an endodontics dentist in Portland, OR. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Craid Darrell Johnson, D.D.S, M.S NPI is 1780714881. 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:

511 SW 10TH AVE
PORTLAND, OR
ZIP 97205-732
Phone: (503) 241-7782
Fax: (503) 224-2746

The enumeration date for this NPI number is 3/7/2007 and was last updated on 7/8/2007.

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	1223E0200X	Dentist	Endodontics	D8573	OREGON	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: 4/28/2024

NPI Synchronization or Removal

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