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

Dr. Henderson Andrew Johnson IV, DDS

Individual provider General Practice Dentistry · NPI 1104994052

Dr. Henderson Andrew Johnson IV, DDS is a General Practice Dentistry in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2006
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.

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Practice location Address checks out

2475 E 22nd St Ste 204
Cleveland, OH 44115-3221
Phone: (216) 566-7770
Fax: (216) 566-7704
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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 17934 (OH)

Record details

NPI number1104994052
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 8, 2007

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