Dr. Douglas L Johnson
DMD | Oral and Maxillofacial Surgeon
1301 Plantation Island Dr S, Suite 101, St Augustine
Florida, 32080-3108
904-460-0505 904-460-0506
Maps & DirectionsDr. Douglas L Johnson is a St Augustine, Florida based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Douglas L Johnson is
DN15568 in Florida. His current practice location is
1301 Plantation Island Dr S, Suite 101, St Augustine. Patients can reach him at
904-460-0505.
Dr. Douglas L Johnson deals with 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.
Complete Profile:
Dr. Douglas L Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Douglas L Johnson |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1301 Plantation Island Dr S, Suite 101, St Augustine,
Florida, 32080-3108 |
| Phone: | 904-460-0505 |
| Fax: | 904-460-0506 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1730292517 |
| NPI Enumeration Date: | 16 Aug, 2006 |
| NPI Last Update On: | 23 Jun, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Douglas L Johnson are as mentioned below.
| License Number | Specialization | State | Status | |
| DN15568 | | Florida | Primary | |
| DN15568 | Oral and Maxillofacial Surgery | Florida | Secondary | |
| DN15568 | Plastic Surgery | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Douglas L Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1615570 | Other | | UNITED CONCORDIA |
| 000415568 | Other | Florida | DELTA DENTAL OF FLORIDA |
| 84009 | Other | Florida | BCBS INS |
| B15568-1 | Other | Florida | FL HEALTH KIDS |
| P00237430 | Other | Florida | RAILROAD MEDICARE INDIVIDUAL |
| 20-0618977 | Other | | SOUTHCARE MEDICAL PPO |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 7870,
Springdale, Arkansas |
| Zip: | 72766-7870 |
| Phone Number: | 479-464-5824 |
| Fax Number: | 479-725-2395 |
Patients can reach Dr. Douglas L Johnson at
1301 Plantation Island Dr S, Suite 101, St Augustine, Florida or can
call to book an appointment on 904-460-0505.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.