DR. JUSTIN LEE JOHNSON DDS
NPI 1053516658
Dentist - General Practice in Jefferson City, MO

Active since June 15, 2007
3551 AMAZONAS DR, JEFFERSON CITY, MO 65109(573) 634-2400 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin Lee Johnson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN LEE JOHNSON DDS (NPI 1053516658) is an individual general practice provider in Jefferson City, Missouri, licensed in Missouri (2007016529) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1053516658
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUSTIN LEE JOHNSONCredential: DDS
Location Address3551 AMAZONAS DRJefferson City, MO 65109-5717
Mailing Address3551 Amazonas DrJefferson City, MO 65109-5717 · (573) 634-2400
Sole ProprietorNo
Enumeration DateJune 15, 2007
Last NPPES UpdateApril 28, 2014
NPI 1053516658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 2007016529
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3551 AMAZONAS DR, Jefferson City, MO 65109

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3551 AMAZONAS DR
JEFFERSON CITY, MO 65109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Johnson's NPI number?

The NPI number for Justin Johnson is 1053516658. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Justin Johnson located?

Justin Johnson practices at 3551 Amazonas Dr, Jefferson City, MO 65109. The listed phone number is (573) 634-2400.

What is Justin Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Justin Johnson was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.