Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYAN J JOHNSON, D.D.S.
ActiveDR. BRYAN J JOHNSON, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in WATERFORD, Michigan. NPI 1740384981 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · WATERFORD, MI
Registration Details
- NPI Number
- 1740384981
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2006 (19.974062398102 yrs)
- Last Updated
- Jun 27, 2014
- Licenses
-
BJ017615 (MI)BJ017615 (MI)
Practice Information
- Address
-
4250 PONTIAC LAKE RDSUITE BWATERFORD, MI, 483281281Browse MI providers · Browse ZIP 48328
- Phone
- 2486740303
- Fax
- 2486742947
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
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.