IndividualActive
Glen Johnson, DDS, MS
NPI 1124375423 · Dentist · Seattle, WA
Provider details
- NPI number
- 1124375423
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 5146 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
University of Washington School of Dentistry
Restorative Dentistry Box 357456
Seattle, WA 98195-0001
Phone: (206) 543-5948
Fax: (206) 543-7783
Approximate (ZIP-level) locationGet directions
Mailing address
Box 357456, Department of Restorative Dentistry
Seattle, WA 98195-7456
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2012-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.