DR. TYRAN ERIC JOHNSON D.D.S. NPI 1770671414

NPI Information

  • NPI: 1770671414
  • Provider Name: DR. TYRAN ERIC JOHNSON, D.D.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 9240 BROADWAY AVE
    BROOKFIELD, IL
    ZIP 60513
  • Phone: (708) 680-7017

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NPI Details

DR. Tyran Eric Johnson, D.D.S. is an oral and maxillofacial surgery dentist in Brookfield, IL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Tyran Eric Johnson, D.D.S. NPI is 1770671414. 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:

9240 BROADWAY AVE
BROOKFIELD, IL
ZIP 60513-252
Phone: (708) 680-7017
Fax: (708) 419-3537

The enumeration date for this NPI number is 10/10/2006 and was last updated on 12/23/2022.

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
11223S0112XDentistOral and Maxillofacial Surgery021002224ILLINOISYes

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: 11/21/2025

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