Samantha Claire Johnson, DMD
Individual provider Active NPI Dentist · Freeport, FL
NPI 1104752369 · NPPES record last updated Jun 23, 2026
Key facts
- NPI
- 1104752369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN32057 (FL)
- Practice address
- 1848 Great Hammock BND
Freeport, FL 32439-6695 - Phone
- (850) 953-7005
- NPI assigned
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Beach Family Dental LLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN32057 | FL | Yes |
Addresses
Primary practice location
1848 Great Hammock BND
Freeport, FL 32439-6695
Mailing address
704 Marcia Cir
Mary Esther, FL 32569-2014
Phone (678) 758-3310
Other providers in Freeport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.