IndividualActive
Richard Johnson, DDS, MD
NPI 1174509665 · Oral & Maxillofacial Surgery (D.M.D.) · Sheppard Afb, TX
Provider details
- NPI number
- 1174509665
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS, MD
- Sex
- Male
- License
- DS0000005348 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
82 Medical Group/Credentials
149 Hart Street
Sheppard Afb, TX 76311-3482
Phone: (940) 676-2003
Approximate (ZIP-level) locationGet directions
Mailing address
5110 Crown Ridge Dr
Wichita Falls, TX 76310-1768
Registry dates
- Enumerated
- 2005-12-16
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.