Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH E JOHNSON
Active Sole ProprietorMR. KEITH E JOHNSON is a General Dentistry healthcare provider located in BOULDER CREEK, California. NPI 1952529133 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BOULDER CREEK, CA
Registration Details
- NPI Number
- 1952529133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2007 (19.313027817586 yrs)
- Last Updated
- Jul 8, 2007
- License
-
42162 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13270 BIG BASIN WAYBOULDER CREEK, CA, 95006Browse CA providers · Browse ZIP 95006
- Phone
- 8313382131
- Fax
- 8313382183
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BOULDER CREEK, CA
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN JOHN MORANDI | DDS | 1255763116 |
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.