BRYAN C JOHNSON DMD PC NPI 1962717520

NPI Information

NPI: 1962717520
Provider Name: BRYAN C JOHNSON DMD PC

Doing Business As: LEWIS RIVER DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
500 COLUMBIA ST
SUITE B
WOODLAND, WA
ZIP 98674
Phone: (360) 225-5600
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BRYAN C JOHNSON DMD PC is a dental clinic center in Woodland, WA. BRYAN C JOHNSON DMD PC NPI is 1962717520. The provider is registered as an organization entity type.
The provider Is Doing Business As Lewis River Dental.

The provider's business location address is:

500 COLUMBIA ST
SUITE B
WOODLAND, WA
ZIP 98674-491
Phone: (360) 225-5600
Fax: (360) 225-0369

The provider's authorized official is Bryan Carl Johnson .
The authorized official title is Owner and has the following contact phone number (360) 225-5600.

The enumeration date for this NPI number is 8/6/2010 and was last updated on 8/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	8734	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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