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Contact Information

DOUGLAS L JOHNSON, DMD
1301 PLANTATION ISLAND DR S STE 101
SAINT AUGUSTINE, FL32080-3109
 Phone: 904-439-7980
 Fax: 904-460-0506
 Website:
 

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
Indicates primary specialty

NPI Profile & details for DOUGLAS L JOHNSON · (Male)

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
  • 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(s) Not Available
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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