IndividualActive
Alexander Johnson
NPI 1508685603 · General Practice Dentistry · Lakeview, OR
Provider details
- NPI number
- 1508685603
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- D12244 (OR)
Specialties & taxonomies
Dental Providers
Practice location
1339 S 9th St
Lakeview, OR 97630-1919
Phone: (541) 947-4066
Approximate (ZIP-level) locationGet directions
Mailing address
1782 W 42nd St
Erie, PA 16509-1144
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.