Dr Jesse Kendall Johnson, DDS in Aliso Viejo, CA - Dentist

Dr Jesse Kendall Johnson, DDS is a Dentist based in Aliso Viejo, California. Dr Jesse Kendall Johnson is licensed to practice in California (license number 21146) and his current practice location is 24502 Pacific Park Dr, 106, Aliso Viejo, California. He can be reached at his office (for appointments etc.) via phone at (949) 831-1946.

NPI number for Dr Jesse Kendall Johnson is 1306003355 and his current mailing address is 24502 Pacific Park Dr, 106, Aliso Viejo, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306003355.

Contact Information

	Dr Jesse Kendall Johnson, DDS
	24502 Pacific Park Dr, 106, Aliso Viejo, CA 92656-3033
	(949) 831-1946
	(949) 643-2077

Healthcare Provider's Profile

Full Name	Dr Jesse Kendall Johnson
Gender	Male
Speciality	Dentist
Location	24502 Pacific Park Dr, Aliso Viejo, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1306003355
Provider Enumeration Date: 05/19/2008
Last Update Date: 05/19/2008

Medical Identifiers

Medical identifiers for Dr Jesse Kendall Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306003355	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	21146 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jesse Kendall Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jesse Kendall Johnson, DDS 24502 Pacific Park Dr, 106, Aliso Viejo, CA 92656-3033 Ph: (949) 831-1946	Dr Jesse Kendall Johnson, DDS 24502 Pacific Park Dr, 106, Aliso Viejo, CA 92656-3033 Ph: (949) 831-1946

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Dentist in Aliso Viejo, CA

Dr. Bryant Dang-khoa Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 22 Coralwind, Aliso Viejo, CA 92656 Phone: 949-468-7269
Dr. Chitra Tiruveedula, BDS,DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 26831 Aliso Creek Rd Ste 202, Aliso Viejo, CA 92656 Phone: 949-362-8523 Fax: 949-362-8525
Guitta Harb, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 26731 Aliso Creek Rd Ste 210, Aliso Viejo, CA 92656 Phone: 949-360-0225
Mr. Reza Mohammad Birjandi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 27066 South La Paz Rd, Aliso Viejo, CA 92656 Phone: 949-360-9700 Fax: 949-362-5182
Dr. Elise Pham, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 Rosy Finch Ln, Aliso Viejo, CA 92656 Phone: 949-357-3700
Dr. Jeffry Mcghee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 11 Mareblu, Suite 140, Aliso Viejo, CA 92656 Phone: 949-362-5512
Su-min Wang, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 24541 Pacific Park Dr, Suite 104, Aliso Viejo, CA 92656 Phone: 949-362-9860 Fax: 949-362-4802

Dr Jesse Kendall Johnson, DDS - Dentist in Aliso Viejo, CA