Individual provider · Type 1 NPI

Robert W. Johansen, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Albuquerque, NM

NPI number 1669675385 Active

Practice location

5000 Menaul Blvd NE Ste B
Albuquerque, NM 87110-3046

Call (614) 425-1381 Map

Mailing address

4777 Tramway Blvd NE, Apt 607
Albuquerque, NM 87111-2974

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	50 054893 (NY)
Dentist	122300000X	30.022825 (OH)
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	DEN.00202093 (CO)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1669675385

Robert W. Johansen, DDS's National Provider Identifier is 1669675385, issued on Jun 8, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 29, 2014.