Dr. Dwight Layne Johnson
Periodontist
1045 E Stewart Ave Bldg 2012t 21st Medical Group
Peterson Afb
, Colorado 80914-2900
Dr. Dwight Layne Johnson
Periodontist
1045 E Stewart Ave Bldg 2012t 21st Medical Group
Peterson Afb
, Colorado 80914-2900
(719) 556-1333
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Dwight Layne Johnson
- 1045 E Stewart Ave Bldg 2012t 21st Medical Group
- Peterson Afb, CO
- Zip : 80914-2900
- Phone : (719) 556-1333
Second Address
- Dr. Dwight Layne Johnson
- 1045 E Stewart Ave Bldg 2012t 21st Medical Group
- Peterson Afb, CO
- Zip : 80914-2900
- Phone : (719) 556-1333
Reviews
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Is Dr. Dwight Layne Johnson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0300X | Periodontist | 376097-9921 | UT |
| N | 1223P0300X | Periodontist | D-3382 | ID |
| Y | 1223P0300X | Periodontist | DE00010960 | WA |
National Provider Identifier
| NPI | 1043297153 |
|---|---|
| Provider Name | Dr. Dwight Layne Johnson |
| First Address | Peterson Afb, CO 80914-2900 |
| Second Address | Peterson Afb, CO 80914-2900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2005 |
| Last Update Date | 30/03/2018 |
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.