Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598879900 Individual Practitioner Male Practitioner

Dr. Paul E. Johnson , DDS

Dentist - General Practice • Davis, CA

Professional Overview & Biography Verified Profile Summary

Dr. Paul Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Davis, CA. Practice services are available at 2800 5TH ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2800 5th St Ste 100

Davis, CA 956167765

Telephone 5307565300
Fax 5307564941
Associated Practice Facility / Clinic
🏢 Dagon Jones Dds Inc. Facility NPI 1437616349

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Davis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
30 Specialists

Practicing in Davis, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 34976

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Id
68-0248301 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Michael Ciccarelli

Dentist - General Practice

NPI 1548689599
NPI 1881855112

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2800 5TH ST STE 100, DAVIS, CA 956167765 (Tel: 5307565300)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2800 5TH ST STE 100, DAVIS, CA 956167765 (Tel: 5307565300)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL JOHNSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #34976 in CA)

🟢
Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598879900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2800 5th St Ste 100

Davis, CA 956167765

Phone: 5307565300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.