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Dr. Susan Deana Johnson, DDS
Oral and Maxillofacial Surgery (Dentist) in Portsmouth, Virginia
NPI 1750353686

Susan Deana Johnson is a Oral and Maxillofacial Surgery (Dentist) based in Fairfax, VA and is specialized in Oral and Maxillofacial Surgery. Susan Deana Johnson practices in Portsmouth, VA and has the professional credentials of DDS. The NPI Number for Susan Deana Johnson is 1750353686 and holds a License No. D11173 (Virginia).

The current practice location address for Susan Deana Johnson is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-5000. You can also correspond with Susan Deana Johnson through the mailing address at 3994 NORTON PL, FAIRFAX, VA - 22030-3734 (mailing address contact number: 757-339-2950).

Location: 620 John Paul Jones Cir, Portsmouth, VA, 22030-3734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750353686
Provider Name
Susan Deana Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
620 John Paul Jones Cir, Portsmouth, VA, 22030-3734
Phone Number
757-953-5000
Fax Number
Provider Enumeration Date
02/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
757-953-5000
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
757-953-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D11173 (Minnesota)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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