Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629216726 Individual Practitioner Male Practitioner

Dr. Michael Lee Johnson , DDS

Dentist - General Practice • Fort Irwin, CA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Irwin, CA. Practice services are available at BLDG 171, 4TH & INNERLOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Bldg 171, 4th & Innerloop
Usa Dentac

Fort Irwin, CA 923105076

Telephone 7195265537
Fax 7195242843

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Irwin, CA

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

Practicing in Fort Irwin, 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

CMS Verified: 2023-06-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 57817

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License CA 57817

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA DDS57817

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.

Secondary Practice Locations

2901 Cassidy Rd

Fort Bliss, TX 799163502

Phone: 9157420086

Practice Associates & Co-Workers

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

40 Associated Practitioners
Linda Hohl , RDH

Dental Hygienist

NPI 1003188186

Registered Dental Hygienist

Alandra Colman , 68E

Dental Assistant

NPI 1013404045
Carri Decamp

Dental Hygienist

NPI 1013585413
Christina Egeland

Dental Assistant

NPI 1013651504
Frances Lee

Dental Assistant

NPI 1023467123
Karen Olazabal

Dental Assistant

NPI 1023657103

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location June 21, 2023

Registered at BLDG 171, 4TH & INNERLOOP, USA DENTAC, FORT IRWIN, CA 923105076 (Tel: 7195265537)

📍
Updated Practice Location April 07, 2023

Registered at 2901 CASSIDY RD, FORT BLISS, TX 799163502 (Tel: 9157420086)

📍
Updated Business Mailing Address April 07, 2023

Registered at 2901 CASSIDY RD, FORT BLISS, TX 799163502 (Tel: 9157420086)

NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2017

Registered at 5005 N PIEDRAS ST, EL PASO, TX 799205002 (Tel: 9157420086)

📍
Updated Business Mailing Address October 17, 2017

Registered at 5005 N PIEDRAS ST, EL PASO, TX 799205002 (Tel: 9157420086)

👤
Provider Name / Credentials Updated October 17, 2017

Recorded as MICHAEL JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Dentist (License #57817 in CA)

NPI Profile Active August 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2013

Registered at BLDG 171, 4TH & INNERLOOP, USA DENTAC, FORT IRWIN, CA 923105076 (Tel: 7195265537)

📍
Updated Business Mailing Address August 21, 2013

Registered at BLDG 171, 4TH & INNERLOOP, USA DENTAC, FORT IRWIN, CA 923105076 (Tel: 7195265537)

👤
Provider Name / Credentials Updated August 21, 2013

Recorded as MICHAEL JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2013

Dentist (License #57817 in CA)

🟢
Initial NPI Registration & Enumeration January 27, 2009

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: 1629216726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2009
Last Update: June 21, 2023
Sole Proprietor: No

Mailing Address

2901 Cassidy Rd

Fort Bliss, TX 799163502

Phone: 9157420086

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.