Dr Douglas L Johnson, DMD is a
Oral & Maxillofacial Surgery based in St Augustine, Florida. Dr Douglas L Johnson is licensed to practice in Florida (license number DN15568) and his current practice location is
1301 Plantation Island Dr S, Suite 101, St Augustine, Florida. He can be reached at his office (for appointments etc.) via phone at
(904) 460-0505.
NPI number for Dr Douglas L Johnson is 1730292517 and his current mailing address is Po Box 7870, Springdale, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730292517.
Healthcare Provider's Profile
| Full Name | Dr Douglas L Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 1301 Plantation Island Dr S, St Augustine, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730292517
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 06/23/2008
Medical Identifiers
Medical identifiers for Dr Douglas L Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730292517 | NPI | - | NPPES |
| 1615570 | Other | | UNITED CONCORDIA |
| 000415568 | Other | FL | DELTA DENTAL OF FLORIDA |
| 84009 | Other | FL | BCBS INS |
| B15568-1 | Other | FL | FL HEALTH KIDS |
| P00237430 | Other | FL | RAILROAD MEDICARE INDIVIDUAL |
| 20-0618977 | Other | | SOUTHCARE MEDICAL PPO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN15568 (Florida) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DN15568 (Florida) | Primary |
| 2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | DN15568 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Douglas L Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Douglas L Johnson, DMD
Po Box 7870,
Springdale, AR 72766-7870
Ph: (479) 464-5824 | Dr Douglas L Johnson, DMD
1301 Plantation Island Dr S, Suite 101,
St Augustine, FL 32080-3108
Ph: (904) 460-0505 |
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