OrganizationActive
D. Todd Johnson DDS, PC
NPI 1912221052 · Oral and Maxillofacial Surgery (Dentist) · Broken Arrow, OK
Provider details
- NPI number
- 1912221052
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Julia Sams, Contract Coordinator(918) 449-5800
- License
- 5019 (OK)
Specialties & taxonomies
Dental Providers
Practice location
4716 W Urbana St
Broken Arrow, OK 74012-5997
Phone: (918) 449-5800
Fax: (918) 455-8958
Approximate (ZIP-level) locationGet directions
Mailing address
4716 W Urbana St
Broken Arrow, OK 74012-5997
Registry dates
- Enumerated
- 2010-03-18
- Last updated
- 2010-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.