National Provider Identifier Database

DOUGLAS L JOHNSON, DMD – NPI #1730292517
Oral & Maxillofacial Surgery

Contact Information

DOUGLAS L JOHNSON, DMD
1301 PLANTATION ISLAND DR S STE 101
SAINT AUGUSTINE, FL  32080-3109
Phone: 904-439-7980
Fax: 904-460-0506
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 1223S0112X
Plastic Surgery Within the Head and Neck 2082S0099X

* Indicates primary specialty

NPI Profile & details for DOUGLAS L JOHNSON

NPI Number 1730292517
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/16/2006
Last updated 05/29/2026 - Less than a week ago
Sole proprietor1 No
Identifiers
  • FL License #: DN15568
  • Other: 20-0618977 SOUTHCARE MEDICAL PPO
  • Other: 1615570 UNITED CONCORDIA
  • FL Other: 84009 BCBS INS
  • FL Other: 000415568 DELTA DENTAL OF FLORIDA
  • FL Other: B15568-1 FL HEALTH KIDS
  • FL Other: P00237430 RAILROAD MEDICARE INDIVIDUAL
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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