DOUGLAS SCOTT JOHANSEN DDS
NPI 1366571200
Dentist in Hartford, MI

Active since March 05, 2007
57418 COUNTY ROAD 681, HARTFORD, MI 49057(269) 621-3143 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Douglas Scott Johansen Dds NPPES

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

DOUGLAS SCOTT JOHANSEN DDS (NPI 1366571200) is an individual dentist in Hartford, Michigan, licensed in Michigan (2901018068) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1366571200
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDOUGLAS SCOTT JOHANSENCredential: DDS
Location Address57418 COUNTY ROAD 681Hartford, MI 49057-9421
Mailing Address2611 S Cleveland AveSaint Joseph, MI 49085-3001 · (269) 408-1225
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1366571200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901018068
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

57418 COUNTY ROAD 681, Hartford, MI 49057

Other Providers at the Same Location NPPES 16

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

Dentist (Dental Public Health)
57418 COUNTY ROAD 681, SUITE A
HARTFORD, MI 49057
Counselor (Addiction (Substance Use Disorder))
57418 COUNTY ROAD 681
HARTFORD, MI 49057
Counselor (Addiction (Substance Use Disorder))
57418 COUNTY ROAD 681
HARTFORD, MI 49057
Community/Behavioral Health
57418 COUNTY ROAD 681
HARTFORD, MI 49057
Community/Behavioral Health
57418 COUNTY ROAD 681
HARTFORD, MI 49057
Dental Hygienist
57418 COUNTY ROAD 681
HARTFORD, MI 49057
Dental Hygienist
57418 COUNTY ROAD 681
HARTFORD, MI 49057
Dental Hygienist
57418 COUNTY ROAD 681
HARTFORD, MI 49057

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366571200, enumerated as an "individual" on March 05, 2007.

The provider is located at 57418 COUNTY ROAD 681 HARTFORD, MI 49057 and the phone number is (269) 621-3143.

Dentist with taxonomy code 122300000X.