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

Dr. Bruce W Johnson, DMD

Individual provider Periodontics · NPI 1497773485

Dr. Bruce W Johnson, DMD is a Periodontics in Poway, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

15708 Pomerado Rd Ste N104
Poway, CA 92064
Phone: (858) 485-1180
Fax: (858) 485-1426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 29312 (CA)

Record details

NPI number1497773485
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESMay 22, 2018
Mailing addressPo Box 270769, San Diego, CA 92198-2769

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