Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841493236 Individual Practitioner Male Practitioner

Dr. Michael B Johnson , DDS

Dentist • Tishomingo, OK

Professional Overview & Biography Verified Profile Summary

Dr. Michael Johnson, DDS is a registered healthcare professional specializing in Dentist in Tishomingo, OK. Practice services are available at 815 E 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

815 E 6th St

Tishomingo, OK 734602847

Telephone 5804214570
Fax 5804216283
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tishomingo, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Tishomingo, OK (1115 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 11189

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
11189 (TX)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003170887

Doctor of Dental Surgery

Dr. Lucretia Barker , MD

Obstetrics & Gynecology

NPI 1003817172

Doctor of Medicine (M.D.)

Tanya Hatter

Pharmacy Technician

NPI 1013088616
Dr. Olivia Reed , DO

Emergency Medicine

NPI 1013380021

Doctor of Osteopathic Medicine (D.O.)

Billy Jack

Counselor - Addiction (Substance Use Disorder)

NPI 1013930593
Clay Warren

Physical Medicine & Rehabilitation

NPI 1023198165

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2008

Registered at 815 E 6TH ST, TISHOMINGO, OK 734602847 (Tel: 5804214570)

📍
Updated Business Mailing Address May 28, 2008

Registered at 1001 N COUNTRY CLUB RD, ADA, OK 748202847 (Tel: 5804214570)

👤
Provider Name / Credentials Updated May 28, 2008

Recorded as MICHAEL JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2008

Dentist (License #11189 in TX)

🟢
Initial NPI Registration & Enumeration June 06, 2007

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: 1841493236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2007
Last Update: May 28, 2008
Sole Proprietor: No

Mailing Address

1001 N Country Club Rd

Ada, OK 748202847

Phone: 5804214570

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.