Healthcare Provider Details

I. General information

NPI: 1891636783
Provider Name (Legal Business Name): JOSHUA L JOHNSON, DDS, MS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E HASTINGS RD STE B
SPOKANE WA
99218-1900
US

IV. Provider business mailing address

510 E HASTINGS RD STE B
SPOKANE WA
99218-1900
US

V. Phone/Fax

Practice location:
  • Phone: 509-328-1243
  • Fax:
Mailing address:
  • Phone: 509-328-1243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA LAMONTE JOHNSON
Title or Position: OWNER
Credential: DDS, MS
Phone: 509-863-7304