Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114140712 Individual Practitioner Male Practitioner

Jeffrey Johnson

Dentist • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Jeffrey Johnson is a registered healthcare professional specializing in Dentist in Bellevue, WA. Practice services are available at 5611 119TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5611 119th Ave Se
Suite 5

Bellevue, WA 980063799

Telephone 4256440300
Fax 4256438394
Associated Practice Facility / Clinic
🏢 Dorothy Laura Johnson Facility NPI 1528467289

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
119 Specialists

Practicing in Bellevue, WA (2853 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 WA 5715

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1316031446

Doctor of Dental Surgery

Carmi Jorgensen , LMTMMP

Massage Therapist

NPI 1487788527
Dr. Eugene Hsu , DDS

Dentist - General Practice

NPI 1750380127

Doctor of Dental Surgery

Dr. Matt Pilot , DDS

Dentist - General Practice

NPI 1801970371

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 5611 119TH AVE SE, SUITE 5, BELLEVUE, WA 980063799 (Tel: 4256440300)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5611 119TH AVE SE, SUITE 5, BELLEVUE, WA 980063799 (Tel: 4256440300)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY JOHNSON

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

Dentist (License #5715 in WA)

🟢
Initial NPI Registration & Enumeration April 11, 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: 1114140712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5611 119th Ave Se, Suite 5

Bellevue, WA 980063799

Phone: 4256440300

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.