Individual provider · Type 1 NPI

Tara Maria Johnston, DDS

Dentist · San Rafael, CA

NPI number 1548620107 Active

Practice location

912 Grand Ave Ste 102
San Rafael, CA 94901-3552

Call (415) 453-9135 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X100418 (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 1548620107

Tara Maria Johnston, DDS's National Provider Identifier is 1548620107, issued on Feb 25, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Rafael, CA. The record was last updated on Oct 20, 2026.