S. Shaun Johanson Dds, Inc.

Specialty details in registry · Mckinleyville, CA

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At a glance

1661 Pickett Rd, Mckinleyville, CA 95519-3914

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

1661 Pickett Rd
Mckinleyville, CA 95519-3914
Professional details: NPI, taxonomy & registry record
NPI1003947623
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223G0001X
Enumeration date
Mar 7, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License reported: 40838 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1661 Pickett Rd
Mckinleyville, CA 95519-3914
Phone
(707) 839-3227
Mailing address
PO BOX 2368

MCKINLEYVILLE, CA 955192368
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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