DOUGLAS JOHNSON, DMD

Oral & Maxillofacial Surgery (D.M.D.) · ST AUGUSTINE, FL

Individual Active Opted out of Medicare NPI 1730292517

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000XDN15568FL
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician2082S0099XDN15568FL
Oral and Maxillofacial Surgery (Dentist)1223S0112XDN15568FL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Maxillofacial Surgery), effective 2013-04-02 through 2027-04-02.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.