Individual provider · Type 1 NPI
Michael Lee Johnson, DDS
General Practice Dentistry · Fort Irwin, CA
NPI number
1629216726
Active
Practice location
Bldg 171, 4th & Innerloop, Usa Dentac
Fort Irwin, CA 92310-5076
Fax (719) 524-2843
Mailing address
2901 Cassidy Rd
Fort Bliss, TX 79916-3502
Other practice locations
- 2901 Cassidy Rd, Fort Bliss, TX 79916-3502 · (915) 742-0086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 57817 (CA) |
| General Practice Dentistry | 1223G0001X | DDS57817 (CA) |
| General Practice Dentistry Primary | 1223G0001X | 57817 (CA) |
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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- Jin Woo PakGeneral Practice Dentistry Fort Irwin, CA NPI 1508311457
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- Douglas Neil Wade, DDSGeneral Practice Dentistry Fort Irwin, CA NPI 1649214248
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About NPI 1629216726
Michael Lee Johnson, DDS's National Provider Identifier is 1629216726, issued on Jan 27, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Irwin, CA. The record was last updated on Jun 21, 2023.