MEDICARE: PAUL W. JOHNSON,PH.D., D.M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	43798	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45854197	OTHER	CA	STATE EMPLOYER ID
2	680448471	OTHER	CA	INDIVIDUAL EMPLOYER ID

General Provider Information

NPI Number	:	1154492239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL W. JOHNSON,PH.D., D.M.D., INC.

Provider Business Mailing Address
First Line	:	8007 LAGUNA BLVD
Second Line	:	SUITE 1
City	:	ELK GROVE
State	:	CA
Zip	:	95758-7920
Country	:	US
Telephone Number	:	916-691-6442
Fax Number	:	916-691-6452

Provider Business Practice Location Address
First Line	:	8007 LAGUNA BLVD
Second Line	:	SUITE 1
City	:	ELK GROVE
State	:	CA
Zip	:	95758-7920
Country	:	US
Telephone Number	:	916-691-6442
Fax Number	:	916-691-6452

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL WILLIAM JOHNSON
Credential	:	PH.D., D.M.D.
Telephone Number	:	916-691-6442

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	05/21/2008

Similar Medicare Providers

1851406540 — JAMES T LIN M.D.
Practice Location Address:

8021 LAGUNA BLVD , SUITE 3
ELK GROVE, CA
95758-7920

Practice Phone: 916-525-1559
Practice Fax: 916-525-1578

1992864011 — THADDOUS L ARCHIE DDS
Practice Location Address:

8013 LAGUNA BLVD STE 2
ELK GROVE, CA
95758-7920

Practice Phone: 916-691-6020
Practice Fax: 916-691-6022

1982753844 — DR. WALLACE JEROME BELLAMY D.M.D.
Practice Location Address:

8007 LAGUNA BLVD , SUITE #3
ELK GROVE, CA
95758-7920

Practice Phone: 916-683-3011
Practice Fax: 916-683-4764

1558495937 — DIGNITY HEALTH MEDICAL FOUNDATION
Practice Location Address:

7911 LAGUNA BLVD
ELK GROVE, CA
95758-7920

Practice Phone: 916-733-5801
Practice Fax: 916-683-0232

1134243470 — GEORGE SHANNON MAYWEATHER D.D.S.
Practice Location Address:

8013 LAGUNA BLVD STE 1
ELK GROVE, CA
95758-7920

Practice Phone: 916-683-3015
Practice Fax: 916-683-5150

1649447624 — DR. TINSUE TERRANCE FU DDS
Practice Location Address:

8007 LAGUNA BLVD , SUITE 2
ELK GROVE, CA
95758-7920

Practice Phone: 916-683-8688
Practice Fax: 916-683-8988

Directions to “PAUL W. JOHNSON,PH.D., D.M.D., INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.