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DR. MICHAEL LEE JOHNSON DDS NPI 1629216726


NPI Information

NPI: 1629216726
Provider Name: DR. MICHAEL LEE JOHNSON, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
BLDG 171, 4TH & INNERLOOP
USA DENTAC
FORT IRWIN, CA
ZIP 92310
Phone: (719) 526-5537
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DR. Michael Lee Johnson, DDS is a general practice dentist in Fort Irwin, CA. 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. DR. Michael Lee Johnson, DDS NPI is 1629216726. 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:

BLDG 171, 4TH & INNERLOOP
USA DENTAC
FORT IRWIN, CA
ZIP 92310-076
Phone: (719) 526-5537
Fax: (719) 524-2843

The enumeration date for this NPI number is 1/27/2009 and was last updated on 6/21/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist57817CALIFORNIANo
21223G0001XDentistGeneral PracticeDDS57817CALIFORNIANo
31223G0001XDentistGeneral Practice57817CALIFORNIAYes

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

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