IndividualActive
Jeffrey Johnson, D.D.S.
NPI 1114570652 · General Practice Dentistry · Hagatna, GU
Provider details
- NPI number
- 1114570652
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D829 (GU)
Practice location
250 Route 4 Ste 101
Hagatna, GU 96910-7110
Phone: (671) 646-7982
Fax: (671) 646-7989
Mailing address
250 Route 4 Ste 101
Hagatna, GU 96910-7110
Registry dates
- Enumerated
- 2019-07-23
- Last updated
- 2019-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.