Michael Alan Johnson DDS

NPI 1073736674 - Dentist - 1223G0001X

NPI Details
NPI 1073736674
Gender Male
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
447 E LINE ST
GENEVA IN, 46740-8936, US
Phone (260) 368-7500
Fax (260) 368-7167
Business Location
6204 W 300 S-1 # SOUTH-1
BLUFFTON IN, 46714-9516, US
Phone (260) 565-4506
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12010412
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According to our database, Dr. Michael Alan Johnson DDS NPI is 1073736674, taxonomy code is 1223G0001X and license number is 12010412, license state is located at Indiana. Michael Alan Johnson DDS physically located at 447 E Line St, Geneva IN, 46740-8936. NPI Number Michael Alan Johnson DDS has the Individual type.

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1073736674 NPI number is provided on an as is basis without warranty of any kind. 1073736674 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Alan Johnson DDS are for informational purposes only.