Jeremy Leonard Johnson, D.D.S.

Dentist · Monroe, WA

Individual Active NPI

NPI number 1376651364

Practice location

14650 N Kelsey St # 104-105
Monroe, WA 98272-1456
Phone
(360) 794-8580
Fax
(844) 470-1798

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NPI record

NPI
1376651364
Entity type
Individual (Type 1)
Enumeration date
August 29, 2006
Last updated
July 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE00009214 WA

Mailing address

14650 N Kelsey St #104-105
Monroe, WA 98272
Phone
(360) 794-8580
Fax
(844) 470-1798

About Dr. Johnson

Jeremy Leonard Johnson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 14650 N Kelsey St # 104-105, Monroe, WA 98272-1456. The NPI number 1376651364 was assigned on August 29, 2006 and the record was last updated on July 21, 2022.

Dr. Johnson lists a license in the registry: #DE00009214 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeremy Leonard Johnson, D.D.S.?

The NPI number is 1376651364.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (360) 794-8580.

Where is Dr. Johnson located?

14650 N Kelsey St # 104-105, Monroe, WA 98272-1456.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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