Jacob Johnson, DDS, MS

NPI 1699584755 · on the registry since 2025 · sole proprietor

Practice

Address: 3839 W Congress St Ste B
Lafayette, LA 70506
Phone: (870) 826-1511
Organisation at this address: Reynold L Gaubert Dmd
Periodontics Associates, Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-01-03

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 Louisiana