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

Dr. Bryan J Johnson, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1740384981

Dr. Bryan J Johnson, DDS is an Oral Surgery in Waterford, Michigan. Qualified in 2003, 23 years ago. Practices with Oral and Facial Surgeons of Michigan PC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

4250 Pontiac Lake Rd Ste B
Waterford, MI 48328-1281
Phone: (248) 674-0303
Fax: (248) 674-2947
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence BJ017615 (MI)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence BJ017615 (MI)

Record details

NPI number1740384981
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 8, 2006
Last updated in NPPESJune 27, 2014
Mailing address11525 Highland Rd, Suite 23, Hartland, MI 48353-2726

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Oral And Facial Surgeons Of Michigan Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare