Individual provider · Type 1 NPI

Robert Jackson Johnson

Dental Anesthesiology · Brooklyn, NY

NPI number 1629601679 Active

Practice location

150 55th St
Brooklyn, NY 11220-2508

Call (718) 630-7000 Map

Mailing address

947 N 50 E
Kaysville, UT 84037-1203

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology 1223D0004X4405-23 (MS)
Dental Anesthesiology 1223D0004XD012025 (AZ)
Dental Anesthesiology Primary 1223D0004X11770 (TN)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

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About NPI 1629601679

Robert Jackson Johnson's National Provider Identifier is 1629601679, issued on Feb 18, 2020. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 12, 2024.