NPI 1174509665

Richard Lee Johnson, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Sheppard Afb, TX

Practice location

Address: 82 Medical Group/Credentials 149 Hart Street, Sheppard Afb, TX 76311-3482
Phone: (940) 676-2003
Mailing address: 5110 Crown Ridge Dr, Wichita Falls, TX 76310-1768

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence MD0000035690 (TN)

Other Oral & Maxillofacial Surgery providers in Texas →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence DS0000005348 (TN)

Other Dentist providers in Texas →

Registry record

NPI: 1174509665
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2005
Record last updated: 13 Jul 2026

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.