Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Keith E Johnson

Individual provider General Practice Dentistry · NPI 1952529133

Mr. Keith E Johnson is a General Practice Dentistry in Boulder Creek, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

13270 Big Basin Way
Boulder Creek, CA 95006
Phone: (831) 338-2131
Fax: (831) 338-2183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 42162 (CA)

Record details

NPI number1952529133
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007

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