| Dr S Shaun Johanson, DDS | |
|
1661 Pickett Rd, Mckinleyville, CA 95519-3914 | |
| (707) 839-3227 | |
| Not Available |
| Full Name | Dr S Shaun Johanson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1661 Pickett Rd, Mckinleyville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295866804 | NPI | - | NPPES |
| B40838-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40838 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr S Shaun Johanson, DDS Po Box 2368, Mckinleyville, CA 95519-2368 Ph: (707) 839-3227 | Dr S Shaun Johanson, DDS 1661 Pickett Rd, Mckinleyville, CA 95519-3914 Ph: (707) 839-3227 |
Mr. Fredrick Anthony Johnson Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1955 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-1100 | |
Dr. Lawrence Gunnar Johanson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1661 Pickett Rd, Mckinleyville, CA 95519 Phone: 707-839-3227 Fax: 707-839-0844 | |
Dr. Gregory Thomas Mellon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1737 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3262 Fax: 707-839-3275 | |
Mr. Allen R Ehlers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1585 Heartwood Dr, Suite B, Mckinleyville, CA 95519 Phone: 707-839-3284 Fax: 707-839-2910 | |
Timothy Roettger, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1955 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-1100 |