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

Robert Jackson Johnson

Individual provider Dental Anesthesiology · NPI 1629601679

Robert Jackson Johnson is a Dental Anesthesiology in Brooklyn, New York. Practices as a sole proprietor. Licensed in Arizona, Mississippi and Tennessee.

Licensed in
AZ, MS, TN
In the registry since
2020
Specialties on file
3

Practice location Address checks out

150 55th St
Brooklyn, NY 11220-2508
Phone: (718) 630-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X · Licence 11770 (TN)
Dental Anesthesiology Taxonomy 1223D0004X · Licence 4405-23 (MS)
Dental Anesthesiology Taxonomy 1223D0004X · Licence D012025 (AZ)

Record details

NPI number1629601679
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 18, 2020
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address947 N 50 E, Kaysville, UT 84037-1203

Other providers in Brooklyn