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

Mr. Keith E Johnson

Individual provider General Practice Dentistry · NPI 1952529133

Mr. Keith E Johnson is a General Practice Dentistry in Boulder Creek, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

13270 Big Basin Way
Boulder Creek, CA 95006
Phone: (831) 338-2131
Fax: (831) 338-2183
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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 42162 (CA)

Record details

NPI number1952529133
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing address13270 Big Basin Way, Boulder Creek, CA 95006

Other providers in Boulder Creek