Dr. Benjamin Reed Johnson
Dentist - General Practice Oral and Maxillofacial Surgeon
601 S Carr Rd Suite 300
Renton
, Washington 98055-5866
Dr. Benjamin Reed Johnson
Dentist - General Practice Oral and Maxillofacial Surgeon
601 S Carr Rd Suite 300
Renton
, Washington 98055-5866
(425) 466-1185
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About
Features
Specialties
- General Practice
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Benjamin Reed Johnson
- 601 S Carr Rd Suite 300
- Renton, WA
- Zip : 98055-5866
- Phone : (425) 466-1185
Second Address
- Dr. Benjamin Reed Johnson
- 601 S Carr Rd Suite 300
- Renton, WA
- Zip : 98055-5866
- Phone : (425) 466-1185
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 019.028413 | IL |
| N | 213EG0000X | General Practice | 019.028413 | IL |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 60204550 | WA |
National Provider Identifier
| NPI | 1073821286 |
|---|---|
| Provider Name | Dr. Benjamin Reed Johnson |
| First Address | Renton, WA 98055-5866 |
| Second Address | Renton, WA 98055-5866 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2010 |
| Last Update Date | 28/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.