WILLIAM LEE JOHANSEN


Address: 1160 Liberty St Se, Salem, OR 97302-4143
Phone: 5033633311

WILLIAM LEE JOHANSEN (NPI# 1609942143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609942143
Entity Type Individual
Full Name WILLIAM LEE JOHANSEN
Credential DDS
Practice Address 1160 Liberty St Se
Salem
OR 97302-4143
Mailing Address 1160 Liberty Street Se
Salem
OR 97302
Practice Telephone 5033633311
Mailing Telephone 5033633311
Enumeration Date 2006-11-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
D7254 OR Dental Providers

Other Providers WILLIAM JOHANSEN

NPI Name Taxonomy Address Enumeration
1073975132 William Johansen Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2016-03-27

Office Location

Street Address 1160 LIBERTY ST SE
City SALEM
State OR
Zip Code 97302-4143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477168573 Kathy Dement Registered Nurse 1160 Liberty St Se, Salem, OR 97302-4143 2020-09-15
1861017311 Susanna V Martushev Counselor 1160 Liberty St Se, Salem, OR 97302-4143 2020-06-10
1942834312 Kimberly Ann Eichler Licensed Practical Nurse 1160 Liberty St Se, Salem, OR 97302-4143 2020-02-25
1477104081 Angelica Anna Jacob Licensed Practical Nurse 1160 Liberty St Se, Salem, OR 97302-4143 2019-09-25
1689225393 Rachelle Ann Vargo Licensed Practical Nurse 1160 Liberty St Se, Salem, OR 97302-4143 2019-09-24
1699324889 Ryan Lawson Counselor 1160 Liberty St Se, Salem, OR 97302-4143 2019-09-10
1184278707 Lisa Martinez Counselor 1160 Liberty St Se, Salem, OR 97302-4143 2019-07-31
1477013712 Kathryn Marie Deeds Counselor 1160 Liberty St Se, Salem, OR 97302-4143 2019-03-22
1750840781 Brandy Vazquez Licensed Practical Nurse 1160 Liberty St Se, Salem, OR 97302-4143 2019-03-19
1225595572 Jackie Renee Follis Counselor 1160 Liberty St Se, Salem, OR 97302-4143 2019-02-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
Find all providers in zip 97302

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811557457 Chadi Farag Dentist 25620 75th Street, Salem, WI 53168 2019-06-17
1528626660 Stephanie Danielle Gibbons Dentist 5 Dawn St, Salem, NH 03079-3231 2019-06-04
1407414642 Selma Moon Pierce Dentist 961 Glen Eden Ct Nw, Salem, OR 97304-2258 2019-06-03
1295392926 Brock Jesse Nelson Dentist 631 Jason St Ne Ste 150, Salem, OR 97301-2750 2019-05-29
1023595899 Gregory Lee Miller Dentist 3405 Derr Park Rd Se, Salem, OR 97310-0001 2018-07-25
1437643616 Idylwood Dental LLC Dentist 4392 Liberty Road, Salem, OR 97302-6171 2018-06-20
1619428281 William D. Bateman, Dmd, LLC Dentist 1995 Commercial St Se Ste 200, Salem, OR 97302-5291 2016-10-19
1134545494 Caroline Wallace Dentist 103 S Colorado St, Salem, VA 24153-3848 2014-03-11
1275960296 Amy Trevor Dentist 1595 Commercial St. Se, Salem, OR 97302 2013-10-04
1558601385 Crisdental East Salem, LLC Dentist 3545 Lancaster Dr Ne, Salem, OR 97305-1435 2013-02-14
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97302

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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