Johnson, Robert Paul

Johnson, Robert Paul is an individual health care provider with primary practice located at 4499 Medical Dr Suite 190, San Antonio TX 78229-3735. He recently has 4 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Radiology, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Johnson, Robert Paul can be contacted via phone (210) 614-3915.

Contact Information

Primary practice address
4499 Medical Dr Suite 190 San Antonio TX 78229-3735
Fax: (210) 614-3918
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D9680 Texas
Dental Providers / General Practice 1223G0001X D9680 Texas
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X D9680 Texas
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X D9680 Texas

Profile Details

NPI number 1780650721
LBN Legal business name Johnson, Robert Paul
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Feb 26th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780650721 NPPES
Texas MEDICAID 079997501
Texas MEDICAID 079997502

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