EDWARDS JOHNSON & JOHNSON NPI 1417477019

NPI Information

  • NPI: 1417477019
  • Provider Name: EDWARDS, JOHNSON & JOHNSON
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: PACIFIC NORTHWEST ORAL & MAXILLOFACIAL SURGEONS
  • Address: 1900 S PUGET DR
    RENTON, WA
    ZIP 98055
  • Phone: (425) 228-1521

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NPI Details

EDWARDS, JOHNSON & JOHNSON is a general practice dentist in Renton, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. EDWARDS, JOHNSON & JOHNSON NPI is 1417477019. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pacific Northwest Oral & Maxillofacial Surgeons.

The provider's business location address is:

1900 S PUGET DR
RENTON, WA
ZIP 98055-421
Phone: (425) 228-1521

The provider's authorized official is Ben Johnson .
The authorized official title is Partner and has the following contact phone number (425) 277-1844.

The enumeration date for this NPI number is 6/23/2017 and was last updated on 7/21/2022.

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
11223G0001XDentistGeneral PracticeWASHINGTONNo
21223G0001XDentistGeneral PracticeDE60204550WASHINGTONYes

What is NPI?

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This page was last updated on: 11/21/2025

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