# D. TODD JOHNSON DDS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912221052
- **Authorized official:** JULIA E SAMS (CONTRACT COORDINATOR)
- **Authorized official phone:** (918) 449-5800

## Contact information

- **Practice address:** 4716 W URBANA ST, BROKEN ARROW, OK 74012-5997
- **Practice address phone:** (918) 449-5800
- **Practice address fax:** (918) 455-8958
- **Mailing address:** 4716 W URBANA ST, BROKEN ARROW, OK 74012-5997
- **Mailing address phone:** (918) 449-5800
- **Mailing address fax:** (918) 455-8958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5019 | OK | Yes |

## Other

- **Enumeration date:** 03/18/2010
- **Last updated:** 12/20/2010