Organization · Type 2 NPI

Edwards, Johnson & Johnson

General Practice Dentistry · Renton, WA

NPI number 1417477019 Active

Practice location

1900 S Puget Dr
Renton, WA 98055-4421

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry	1223G0001X	None listed
General Practice Dentistry Primary	1223G0001X	DE60204550 (WA)

General Practice Dentistry: 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.

7 other providers at this address

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NPI record

NPI: 1417477019
Entity type: Organization (Type 2)
Issued: Jun 23, 2017
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Edwards & Johnson D.d.s., P.l.l.c.

Other names

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Elevate Family Dentistry · doing business as
Pacific Northwest Oral & Maxillofacial Surgeons · doing business as

Authorized official

Dr. Ben Johnson
Partner
(425) 277-1844

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417477019

Edwards, Johnson & Johnson's National Provider Identifier is 1417477019, issued on Jun 23, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Renton, WA. The record was last updated on Jul 21, 2022.