Individual provider · Type 1 NPI

Kelly J. Johnson, DDS

General Practice Dentistry · Tigard, OR

NPI number 1437486800 Active

Practice location

7420 SW Bridgeport Rd, Suite 104
Tigard, OR 97224-7790

Call (503) 430-7909 Map

Fax (503) 268-1501

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD7482 (OR)

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.

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About NPI 1437486800

Kelly J. Johnson, DDS's National Provider Identifier is 1437486800, issued on Nov 5, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tigard, OR. The record was last updated on Mar 20, 2012.