Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tyler Russell Johansen, DMD, MS

Individual provider Dentist · NPI 1568718146

Dr. Tyler Russell Johansen, DMD, MS is a Dentist in Pearl Harbor, Hawaii. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Partly verified

Some contact details are missing from the federal record.

Naval Health Clinic Hawaii 480 Central Ave
Pearl Harbor, HI 96860
Phone: (530) 276-3389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DS039183 (PA)
Dentist Taxonomy 122300000X · Licence DS039183 (PA)

Record details

NPI number1568718146
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MS
Sole proprietorYes
NPI enumeratedAugust 1, 2012
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

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