MEDICARE: BRETT A JOHNSON DDS

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	122300000X	Dentist	39535	CA

General Provider Information

NPI Number	:	1477638674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRETT A JOHNSON DDS

Provider Business Mailing Address
First Line	:	5276 SCOTTS VALLEY DR STE A
Second Line	:
City	:	SCOTTS VALLEY
State	:	CA
Zip	:	95066-3549
Country	:	US
Telephone Number	:	831-438-4438
Fax Number	:	831-438-0524

Provider Business Practice Location Address
First Line	:	5276 SCOTTS VALLEY DR STE A
Second Line	:
City	:	SCOTTS VALLEY
State	:	CA
Zip	:	95066-3549
Country	:	US
Telephone Number	:	831-438-4438
Fax Number	:	831-438-0524

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1629164637 — CHARLES A CASARONA MD
Practice Location Address:

4900 20TH AVE
VALLEY, AL
36854-3549

Practice Phone: 334-756-5137
Practice Fax: 334-756-6523

1215006408 — TONYA A LYLES MD
Practice Location Address:

4900 20TH AVE
VALLEY, AL
36854-3549

Practice Phone: 334-756-5137
Practice Fax: 334-756-6523

1700922796 — SHEILA RAE JACOBSON PT
Practice Location Address:

1028 VALLEY VIEW DR
VERMILLION, SD
57069-3549

Practice Phone: 605-624-5690
Practice Fax:

1811014293 — CHARLES A. CASARONA, MD
Practice Location Address:

4900 20TH AVE
VALLEY, AL
36854-3549

Practice Phone: 334-756-5137
Practice Fax: 334-756-6523

1942513734 — DARREN R THOMPSON D.O.
Practice Location Address:

9818 CAMINO DEL CORONADO
MORENO VALLEY, CA
92557-3549

Practice Phone: 435-760-1529
Practice Fax:

Directions to “ BRETT A JOHNSON DDS” 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 © 2007-2025 (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.