NPI Profile for DR. DOUGLAS L JOHNSON in SAINT AUGUSTINE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Plastic Surgery Within the Head and Neck |
2082S0099X | 02 | Physician/General Surgery |
| NPI Number | 1730292517 |
|
| Status | Active | |
| Credentials | DMD (Doctor of Medical Dentistry) | |
| Entity | Individual | |
| Enumeration date | 08/16/2006 | |
| Last updated | 05/29/2026 - Less than a week ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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DOUGLAS L JOHNSON
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