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

Dr. Derrick V Johnson

Individual provider Dentist · NPI 1407963762

Dr. Derrick V Johnson is a Dentist in Mountain Home, Arkansas. Practices as a sole proprietor. Licensed in Arkansas and Arizona.

Licensed in
AR, AZ
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

114 Dyer St
Mountain Home, AR 72653
Phone: (870) 580-0950
Fax: (870) 580-0951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence AR3739 (AR)
Dentist Taxonomy 122300000X · Licence 4583 (AZ)

Record details

NPI number1407963762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 24, 2006
Last updated in NPPESJune 9, 2015
Mailing address114 Dyer Street, Mountain Home, AR 72653

Other providers in Mountain Home