Provider Demographics
NPI:1346665726
Name:ARTHUR JOHNSON III, DDS, MD
Entity Type:Organization
Organization Name:ARTHUR JOHNSON III, DDS, MD
Other - Org Name:LAGUNA SURGICAL & COSMETIC SPECIALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS, MD
Authorized Official - Phone:949-347-9990
Mailing Address - Street 1:28202 CABOT RD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1222
Mailing Address - Country:US
Mailing Address - Phone:949-347-9990
Mailing Address - Fax:949-347-9990
Practice Address - Street 1:25982 PALA STE 120
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6724
Practice Address - Country:US
Practice Address - Phone:949-347-9990
Practice Address - Fax:949-347-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOMS361223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty