Individual provider · Type 1 NPI

Phillip Randolph Johnson

Dentist · San Diego, CA

NPI number 1356450159 Active

Practice location

5454 El Cajon Blvd
San Diego, CA 92115-3621

Call (619) 515-2400 Map

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541

Other practice locations

  • 1000 Vale Terrace Dr, Vista, CA 92084-5218 · (760) 407-1220

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X51943 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1356450159

Phillip Randolph Johnson's National Provider Identifier is 1356450159, issued on Aug 29, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Diego, CA. The record was last updated on Mar 17, 2018.