National Provider Identifier Database

JEFFREY C JOHNSON, DDS – NPI #1114570652
General Practice

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.


Contact Information

JEFFREY C JOHNSON, DDS
250 ROUTE 4 STE 101
HAGATNA, GU96910-7110
Phone: 671-646-7982
Fax: 671-646-7989
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for JEFFREY C JOHNSON

NPI Number 1114570652
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/23/2019
Last updated 07/23/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • GU License #: D829
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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