| Dr Tyler Russell Johansen, DMD | |
|
Naval Health Clinic Hawaii, 480 Central Avenue, Pearl Harbor, HI 96860 | |
| (530) 276-3389 | |
| Not Available |
| Full Name | Dr Tyler Russell Johansen |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | Naval Health Clinic Hawaii, Pearl Harbor, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568718146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS039183 (Pennsylvania) | Secondary |
| 1223P0300X | Dentist - Periodontics | DS039183 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler Russell Johansen, DMD 48 Cedar Creek Cir, Beaufort, SC 29906-3000 Ph: (530) 276-3389 | Dr Tyler Russell Johansen, DMD Naval Health Clinic Hawaii, 480 Central Avenue, Pearl Harbor, HI 96860 Ph: (530) 276-3389 |
Dr. Austin Mcintyre, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: Naval Health Clinic Hawaii, 480 Central Avenue, Pearl Harbor, HI 96860 Phone: 512-294-3215 | |
Dr. Stephen Lynn Christopher, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 250 Makalapa Dr, Compacflt Fleet Health Services, Pearl Harbor, HI 96860 Phone: 808-471-2463 Fax: 808-474-7806 | |
Dr. James Kellogg, DDS Dentist Medicare: Medicare Enrolled Practice Location: Naval Health Clinic Hawaii, 480 Central Avenue, Pearl Harbor, HI 96860 Phone: 808-474-4242 | |
Jorge H Parra Betancourt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 250 Makalapa Dr, Compacflt Health Svc (n01hd) Attn: Prof Affairs Coord, Pearl Harbor, HI 96860 Phone: 808-471-2463 Fax: 808-474-7806 | |
Dr. Angela M Roldan-whitaker, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Naval Health Clinic Hawaii, 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-474-3575 Fax: 808-474-7806 | |
Dr. Heather Lynn Stein, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1253 Makalapa Gate Rd, Pearl Harbor, HI 96860 Phone: 808-473-0495 | |
Dr. Robert Gerard Sherman, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1253 Makalapa Gate Rd, Pearl Harbor, HI 96860 Phone: 808-473-0495 |