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DR. JOHN ANTHONY JOHNSON DDS
NPI 1063480622
Dentist - Oral and Maxillofacial Surgery in Columbia, MO

Active since March 09, 2006
3015 S PROVIDENCE RD, COLUMBIA, MO 65203(573) 449-4900(573) 875-6142 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Anthony Johnson Dds NPPES

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

DR. JOHN ANTHONY JOHNSON DDS (NPI 1063480622) is an individual oral and maxillofacial surgery provider in Columbia, Missouri, licensed in Missouri (MO14398) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1063480622
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN ANTHONY JOHNSONCredential: DDS
Location Address3015 S PROVIDENCE RDColumbia, MO 65203
Mailing Address3015 S Providence RdColumbia, MO 65203 · (573) 449-4900 · Fax (573) 875-6142
Phone(573) 449-4900
Fax(573) 875-6142
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 18, 2007
✔ NPI 1063480622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MO · MO14398
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3015 S PROVIDENCE RD, Columbia, MO 65203
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Other Identifiers 1

Medicare UPINA14129

Other Providers at the Same Location NPPES 4

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

COYLE & JOHNSON, ORAL & MAXILLOFACIAL SURGERY, LLC
Dentist (Oral and Maxillofacial Surgery)
3015 S PROVIDENCE RD
COLUMBIA, MO 65203
Boone County (573) 449-4900
MR. WAYNE R HAWKS D.M.D.
Dentist (General Practice)
3015 S PROVIDENCE RD, SUITE 4
COLUMBIA, MO 65203
Boone County (573) 449-2941
DR. JOHN CHARLES LANCE DDS
Dentist (Oral and Maxillofacial Surgery)
3015 S PROVIDENCE RD, SUITE 5
COLUMBIA, MO 65203
Boone County (573) 449-4900
DR. TIMOTHY THOMAS COYLE MD DDS
Dentist (Oral and Maxillofacial Surgery)
3015 S PROVIDENCE RD, SUITE 5
COLUMBIA, MO 65203
Boone County (573) 449-4900

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 John Johnson's NPI number?

The NPI number for John Johnson is 1063480622. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is John Johnson located?

John Johnson practices at 3015 S Providence Rd, Columbia, MO 65203. The listed phone number is (573) 449-4900.

What is John Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for John Johnson was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.