MR. KEITH E JOHNSON NPI 1952529133

NPI Information

MR. Keith E Johnson is a general practice dentist in Boulder Creek, 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. MR. Keith E Johnson NPI is 1952529133. 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:

13270 BIG BASIN WAY
BOULDER CREEK, CA
ZIP 95006
Phone: (831) 338-2131
Fax: (831) 338-2183

The enumeration date for this NPI number is 4/23/2007 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:

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