NPI 1245801349

Ryan Johnson, DMD

Practitioner General Practice Dentistry Brookings, OR

Practice location

Address: 97829 Shopping Center Ave, Brookings, OR 97415-9135
Phone: (541) 813-7000
Mailing address: 442 SW Umatilla Ave STE 200, Redmond, OR 97756-7039

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D11467 (OR)

Other Dentist providers in Oregon →

Dentist

Dental Providers Taxonomy 122300000X Licence D11467 (OR)

Registry record

NPI: 1245801349
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2021
Record last updated: 8 Jul 2021

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.