EDWARDS, JOHNSON, JOHNSON & JOHNSON D.D.S., P.L.L.C. (NPI# 1255803904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255803904 |
Entity Type | Organization |
Organization Name | EDWARDS, JOHNSON, JOHNSON & JOHNSON D.D.S., P.L.L.C. |
Practice Address |
601 S Carr Rd Ste 300 Renton WA 98055-5840 |
Practice Telephone | 4252771844 |
Enumeration Date | 2018-12-19 |
Last Update Date | 2018-12-19 |
Authorized Official Name | DR. BEN JOHNSON (PARTNER) |
Authorized Official Telephone | 4252771844 |
Authorized Official Credential | DMD |
Is Organization Subpart | Y |
Parent Organization Name | EDWARDS & JOHNSON D.D.S., P.L.L.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
Other Name | Type Code |
---|---|
PACIFIC NORTHWEST ORAL & MAXILLOFACIAL SURGEONS | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
309 2nd St Se, Auburn, WA 980025543 | 2539298711 | |
26808 Maple Valley Black Diamond Rd Se, Maple Valley, WA 980388309 | 4254321511 | |
2345 Sw 320th St, Federal Way, WA 980232568 | 2538382133 |
Street Address |
601 S CARR RD STE 300 |
City | RENTON |
State | WA |
Zip Code | 98055-5840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
Find all providers in zip 98055 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619657 | Washington Jaw and Facial Surgery Pllc | Dentist | 451 Duvall Ave Ne Ste 100, Renton, WA 98059-4675 | 2020-11-02 |
1073860854 | Michael C Johnson | Dentist | 601 S Carr Rd, Suite 300, Renton, WA 98055-5866 | 2012-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909145 | Calley Christie Dmd Pllc | Dentist | 275 Sw 160th St Ste 115, Burien, WA 98166-3003 | 2020-10-11 |
1679197016 | Tae Youn Dds Md Pllc | Dentist | 15808 Mill Creek Blvd Ste 202, Mill Creek, WA 98012-1500 | 2020-06-02 |
1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
1740744374 | Thompson Ferguson Schrack Pllc | Dentist | 7604 Ne 5th Ave Ste 114, Vancouver, WA 98665-8200 | 2019-01-28 |
1053875096 | John K Tidwell Dds and Elizabeth A Kutcipal Dds Pllc | Dentist | 1801 Nw Market St Ste 108, Seattle, WA 98107-3909 | 2019-01-23 |
1104396969 | Mark Stivers, Dds, Inc., P.s. | Dentist | 12728 19th Ave Se Ste 101, Everett, WA 98208-6526 | 2018-12-04 |
1144797499 | Washington Jaw and Facial Surgery Pllc | Dentist | 1370 116th Ave Ne Ste 101, Bellevue, WA 98004-3825 | 2018-10-25 |
1780151027 | Washington Jaw and Facial Surgery Pllc | Dentist | 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 | 2018-10-25 |
1043728827 | Lance D Keyes Dds | Dentist | 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 | 2018-01-16 |
1942710231 | Freuen Hauck Paxton Oms Pllc | Dentist | 9911 N Nevada St Ste 120, Spokane, WA 99218-1298 | 2017-10-02 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on EDWARDS, JOHNSON, JOHNSON & JOHNSON D.D.S., P.L.L.C..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.