Antoine G Johnson DDS LLC
NPI 1679902407 · Oral & Maxillofacial Surgery (D.M.D.) · Columbia, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Antoine G Johnson DDS LLC is a Oral & Maxillofacial Surgery (D.M.D.) organization in Columbia, MD (NPI 1679902407).
Provider details
- NPI number
- 1679902407
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Antoine Johnson, Oral Surgeon(410) 465-6800
- License
- 14853 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Other names (DBA / former)
- Other name
- Genesis Oral Surgery
Registry dates
- Enumerated
- 2013-11-02
- Last updated
- 2021-09-29
- Certified
- 2021-09-29
Frequently asked questions
- What is Antoine G Johnson DDS LLC's NPI number?
- Antoine G Johnson DDS LLC's National Provider Identifier (NPI) is 1679902407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Antoine G Johnson DDS LLC?
- Antoine G Johnson DDS LLC is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Antoine G Johnson DDS LLC located?
- Antoine G Johnson DDS LLC's practice location on file with NPPES is 8860 Columbia 100 Parkway, Columbia, MD 21045.
- What is Antoine G Johnson DDS LLC's phone number?
- The practice phone number listed in the NPPES registry for Antoine G Johnson DDS LLC is (410) 465-6800.
- Does Antoine G Johnson DDS LLC accept Medicare?
- Antoine G Johnson DDS LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Antoine G Johnson DDS LLC?
- The authorized official listed on Antoine G Johnson DDS LLC's NPPES record is Antoine Johnson, Oral Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Antoine G Johnson DDS LLC's NPI active?
- Yes — Antoine G Johnson DDS LLC's NPI (1679902407) is active in the NPPES registry as of the last update on 2021-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.