EDWARDS, JOHNSON, JOHNSON & JOHNSON D.D.S., P.L.L.C.


Address: 601 S Carr Rd Ste 300, Renton, WA 98055-5840
Phone: 4252771844

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Other Provider/Organization Names

Other Name Type Code
PACIFIC NORTHWEST ORAL & MAXILLOFACIAL SURGEONS Doing Business As Name - Organization

Provider Secondary Practice Location

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

Office Location

Street Address 601 S CARR RD STE 300
City RENTON
State WA
Zip Code 98055-5840

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City RENTON
Zip Code 98055

Improve Information

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Dataset Information

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.

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