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

Individual provider Dentist · NPI 1356450159

Phillip Randolph Johnson is a Dentist in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
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Practice location Address checks out

5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone: (619) 515-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Vale Terrace Dr, Vista, CA 92084-5218 — (760) 407-1220

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 51943 (CA)

Record details

NPI number1356450159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESMarch 17, 2018

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