Individual provider · Type 1 NPI
Brandon Michael Johnson, DMD, M.S.D.
Orthodontics and Dentofacial Orthopedics Dentistry · Snoqualmie, WA
Practice location
37624 SE Fury St, Suite C220
Snoqualmie, WA 98065-9680
Fax (425) 292-6163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 10329 (CO) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DE60327979 (WA) |
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 1972804573
Brandon Michael Johnson, DMD, M.S.D.'s National Provider Identifier is 1972804573, issued on Nov 12, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Snoqualmie, WA. The record was last updated on Feb 24, 2016.