IndividualActive
Dwight Johnson, D.M.D., M.S.
NPI 1043297153 · Periodontics · Walla Walla, WA
Provider details
- NPI number
- 1043297153
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D., M.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D-3382 (ID)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
1129 S 2nd Ave Ste D
Walla Walla, WA 99362-4100
Phone: (509) 516-1200
Fax: (509) 516-1209
Approximate (ZIP-level) locationGet directions
Mailing address
1129 S 2nd Ave Ste D
Walla Walla, WA 99362-4100
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.