Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023024064 Individual Practitioner Male Practitioner

Dr. Richard S Johnson , DDS

Dentist - General Practice • Providence, UT

Professional Overview & Biography Verified Profile Summary

Dr. Richard Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Providence, UT. Practice services are available at SOUTH VALLEY FAMILY DENTAL DR. RICHARD S. JOHNSON DDS under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

South Valley Family Dental Dr. Richard S. Johnson Dds
271 N. Springcreek Pkwy Suite D

Providence, UT 843329875

Telephone 4357872122
Fax 4357556797

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Providence, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Providence, UT (1388 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 UT 5909098

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 I.d. #
202830421 (UT)
Commercial Insurance / Payer ID State Of Utah License
5909098 (UT)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 07, 2018

Registered at SOUTH VALLEY FAMILY DENTAL DR. RICHARD S. JOHNSON DDS, 271 N. SPRINGCREEK PKWY SUITE D, PROVIDENCE, UT 843329875 (Tel: 4357872122)

📍
Updated Business Mailing Address August 07, 2018

Registered at SOUTH VALLEY FAMILY DENTAL DR. RICHARD S. JOHNSON DDS, 271 N. SPRINGCREEK PKWY SUITE D, PROVIDENCE, UT 843329875 (Tel: 4357872122)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 169 SPRINGCREEK PKWY, SUITE 175, PROVIDENCE, UT 843329707 (Tel: 4357872122)

📍
Updated Business Mailing Address July 08, 2007

Registered at 169 SPRINGCREEK PKWY, SUITE 175, PROVIDENCE, UT 843329707 (Tel: 4357872122)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD JOHNSON, DDS

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

Dentist (License #5909098 in UT)

🟢
Initial NPI Registration & Enumeration July 31, 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: 1023024064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

South Valley Family Dental Dr. Richard S. Johnson Dds, 271 N. Springcreek Pkwy Suite D

Providence, UT 843329875

Phone: 4357872122

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.