NPI 1154825503

Robert Edward Johnson, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Kirkland, WA

Practice location

Address: 5726 Lake Washington Blvd NE STE S2, Kirkland, WA 98033-7398
Phone: (425) 284-0515

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DE60978946 (WA)

Other Oral & Maxillofacial Surgery providers in Washington →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1154825503
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2018
Record last updated: 21 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.