Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS L JOHNSON, DMD
ActiveDR. DOUGLAS L JOHNSON, DMD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in ST AUGUSTINE, Florida. NPI 1730292517 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1730292517
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2006 (20.011347383834 yrs)
- Last Updated
- Jun 23, 2008
- Licenses
-
DN15568 (FL)DN15568 (FL)DN15568 (FL)
Practice Information
- Address
-
1301 PLANTATION ISLAND DR SSUITE 101ST AUGUSTINE, FL, 320803108Browse FL providers · Browse ZIP 32080
- Phone
- 9044600505
- Fax
- 9044600506
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Plastic Surgery within the Head & Neck
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.