Douglas L. Johnson, DMD
Oral & Maxillofacial Surgery (D.M.D.) · St Augustine, FL
Practice location
1301 Plantation Island Dr S Ste 101St Augustine, FL 32080-3109
- Phone
- (904) 439-7980
- Fax
- (904) 460-0506
NPI record
- NPI
- 1730292517
- Entity type
- Individual (Type 1)
- Enumeration date
- August 16, 2006
- Last updated
- May 29, 2026
- Certified
- May 29, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) Primary | 204E00000X |
DN15568 | FL |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X |
DN15568 | FL |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X |
DN15568 | FL |
Mailing address
PO Box 7870Springdale, AR 72766-7870
- Phone
- (479) 464-5824
- Fax
- (479) 725-2395
About Dr. Johnson
Douglas L. Johnson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Oral & Maxillofacial Surgery (D.M.D.) (code 204E00000X). The practice location is 1301 Plantation Island Dr S Ste 101, St Augustine, FL 32080-3109. The NPI number 1730292517 was assigned on August 16, 2006 and the record was last updated on May 29, 2026.
Dr. Johnson lists 3 licenses in the registry: #DN15568 (FL) for Oral & Maxillofacial Surgery (D.M.D.); #DN15568 (FL) for Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician; #DN15568 (FL) for Oral and Maxillofacial Surgery (Dentist). License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Douglas L. Johnson, DMD?
The NPI number is 1730292517.
What is the phone number of Dr. Johnson?
The phone number listed for the practice location is (904) 439-7980.
Where is Dr. Johnson located?
1301 Plantation Island Dr S Ste 101, St Augustine, FL 32080-3109.
What is the taxonomy code for Dr. Johnson?
The primary taxonomy code is 204E00000X – Oral & Maxillofacial Surgery (D.M.D.); 2 more listed above.
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.
Other Oral & Maxillofacial Surgery (D.M.D.) providers in St Augustine
- First Coast Oral & Facial Surgery, PA319 W Town Place
- St Augustine Oral & Facial Surgical Center PA1301 Plantation Island Dr S
All Oral & Maxillofacial Surgery (D.M.D.) providers in St Augustine, FL →