# EDWARDS, JOHNSON & JOHNSON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDWARDS & JOHNSON D.D.S., P.L.L.C.
- **Other names:** ELEVATE FAMILY DENTISTRY, PACIFIC NORTHWEST ORAL & MAXILLOFACIAL SURGEONS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417477019
- **Legal business name:** EDWARDS & JOHNSON D.D.S., P.L.L.C.
- **Authorized official:** DR. BEN JOHNSON (PARTNER)
- **Authorized official phone:** (425) 277-1844

## Contact information

- **Practice address:** 1900 S PUGET DR, RENTON, WA 98055-4421
- **Practice address phone:** (425) 228-1521
- **Mailing address:** 1900 S PUGET DR, RENTON, WA 98055-4421
- **Mailing address phone:** (425) 228-1521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60204550 | WA | Yes |
| 1223G0001X | General Practice Dentistry | — | WA | — |

## Other

- **Enumeration date:** 06/23/2017
- **Last updated:** 07/21/2022