OrganizationActive
Joseph G Johansen DDS PC
NPI 1649459926 · Oral and Maxillofacial Surgery Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1649459926
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Johansen, Oral Maxillofacial Surgeon(480) 632-1508
- License
- AZ3185 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3048 E Baseline Rd
Suite #105
Mesa, AZ 85204-7286
Phone: (480) 632-8848
Approximate (ZIP-level) locationGet directions
Mailing address
3048 E Baseline Rd
Mesa, AZ 85204-7286
Registry dates
- Enumerated
- 2007-11-02
- Last updated
- 2007-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.