IndividualActive
Douglas Johnson, DMD
NPI 1730292517 · Oral & Maxillofacial Surgery (D.M.D.) · St Augustine, FL
Provider details
- NPI number
- 1730292517
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN15568 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1301 Plantation Island Dr S Ste 101
St Augustine, FL 32080-3109
Phone: (904) 439-7980
Fax: (904) 460-0506
Street-level locationGet directions
Mailing address
Po Box 7870
Springdale, AR 72766-7870
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.