Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYLER RUSSELL JOHANSEN, DMD, MS
Active Sole ProprietorDR. TYLER RUSSELL JOHANSEN, DMD, MS is a Periodontology healthcare provider located in PEARL HARBOR, Hawaii. NPI 1568718146 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PEARL HARBOR, HI
Registration Details
- NPI Number
- 1568718146
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2012 (14.008118904284 yrs)
- Last Updated
- May 21, 2025
- Licenses
-
DS039183 (PA)DS039183 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
NAVAL HEALTH CLINIC HAWAII480 CENTRAL AVENUEPEARL HARBOR, HI, 96860Browse HI providers · Browse ZIP 96860
- Phone
- 5302763389
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in PEARL HARBOR, HI
| Name | Credential | NPI |
|---|---|---|
| DR. HEATHER LYNN STEIN | DMD, MS | 1114902939 |
| DR. MICHAEL KEENE YANG | D.D.S. | 1215369467 |
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.