Marc G. Johnson

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

048311 Issued in NY

Legal business name

MARC G. JOHNSON

Practice address

150 Lynnwood Dr
Rochester, NY 14618-2826

Phone

(585) 472-6326

Fax

(585) 922-4495

NPI assigned

Jun 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc Gregory Johnson, D.D.S.

Title

Oral Surgeon

Phone

(585) 472-6326

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1003137381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LYNNWOOD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182826",
            "telephone_number": "585-472-6326",
            "fax_number": "585-922-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LYNNWOOD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182826",
            "telephone_number": "585-472-6326",
            "fax_number": "585-922-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC G. JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "585-472-6326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "048311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marang, MS, CCC-SLP
• Kimberlea Noel Marano, RN
• Margaret Marasco
• Abhijit Arun Marathe
• Bethany Rose Marbaker, MD
• Joelle Marcaida, RN
• Karisa Ann Marcelletti, LMT
• Jamie Leigh Marcello, LMT
• Joshua Vito Marcello, PHARM D.
• Margaret Marcello, RN

• Oral and Maxillofacial Surgery (Dentist) in Rochester, NY
• Providers in Rochester, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.