Dr. Tyler Russell Johansen
DMD, MS | Dentist
Naval Health Clinic Hawaii, 480 Central Avenue, Pearl Harbor
Hawaii, 96860
530-276-3389 Maps & DirectionsDr. Tyler Russell Johansen is a Pearl Harbor, Hawaii based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Tyler Russell Johansen is
DS039183 for Periodontology in Pennsylvania. His current practice location is
Naval Health Clinic Hawaii, 480 Central Avenue, Pearl Harbor. Patients can reach him at
530-276-3389.
Dr. Tyler Russell Johansen is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Tyler Russell Johansen 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. Tyler Russell Johansen |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD, MS |
| Accepts Medicare Assignment: | No |
| Practice Address: | Naval Health Clinic Hawaii, 480 Central Avenue, Pearl Harbor, Hawaii, 96860 |
| Phone: | 530-276-3389 |
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: | 1568718146 |
| NPI Enumeration Date: | 01 Aug, 2012 |
| NPI Last Update On: | 21 May, 2025 |
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. Tyler Russell Johansen are as mentioned below.
| License Number | Specialization | State | Status | |
| DS039183 | Periodontology | Pennsylvania | Primary | |
| DS039183 | Dentistry | Pennsylvania | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2379 Pond Rd, Kailua, Hawaii |
| Zip: | 96734-4851 |
| Phone Number: | 530-276-3389 |
Patients can reach Dr. Tyler Russell Johansen at
Naval Health Clinic Hawaii, 480 Central Avenue, Pearl Harbor, Hawaii or can
call to book an appointment on 530-276-3389.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.