Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DWIGHT LAYNE JOHNSON, D.M.D., M.S.
ActiveDR. DWIGHT LAYNE JOHNSON, D.M.D., M.S. is a Periodontology healthcare provider located in WALLA WALLA, Washington. NPI 1043297153 is currently active in the NPPES registry. Verify at CMS.
Periodontology · WALLA WALLA, WA
Registration Details
- NPI Number
- 1043297153
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2005 (20.591747157212 yrs)
- Last Updated
- Sep 14, 2022
- Licenses
-
D-3382 (ID)376097-9921 (UT)DE00010960 (WA)
Practice Information
- Address
-
1129 S 2ND AVE STE DWALLA WALLA, WA, 993624100Browse WA providers · Browse ZIP 99362
- Phone
- 5095161200
- Fax
- 5095161209
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.