Mary Beth Johnson, DDS
NPI 1437292570ActiveIndividual· Dentist, General Practice· Polacca, AZ
Dentist, General Practice (DDS) in Polacca, Arizona, licensed in OH, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - oral surgery.
Overview
| NPI | 1437292570 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Feb 15, 2007 |
| Last updated in NPPES | Jun 26, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 30020478 | OH |
| Dentist, Pediatric Dentistry | 1223P0221X | 30-020478 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Oral Surgery (TX) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Polacca
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