Search › Hawaii › 1223P0300X

Tyler Johansen, DMD, MS

NPI 1568718146 · on the registry since 2012 · sole proprietor

Practice

Address
Naval Health Clinic Hawaii
480 Central Avenue
Pearl Harbor, HI 96860
Phone
(530) 276-3389
Clinicians at this address
25

Registry record

Primary taxonomy
1223P0300X
1223P0300X
Also registered as
122300000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii