Individual provider · Type 1 NPI

Susan Deana Johnson, DDS

Oral and Maxillofacial Surgery (Dentist) · Portsmouth, VA

NPI number 1750353686 Active

Practice location

620 John Paul Jones Cir, Naval Medical Center Portsmouth
Portsmouth, VA 23708-2111

Mailing address

3994 Norton Pl
Fairfax, VA 22030-3734

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD11173 (MN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1750353686

Susan Deana Johnson, DDS's National Provider Identifier is 1750353686, issued on Feb 4, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portsmouth, VA. The record was last updated on Jan 19, 2023.