Robert J. Johnson, D.D.S., P.C.
Organization Active NPI General Practice Dentistry · Ontonagon, MI
NPI 1578633699 · NPPES record last updated Jan 2, 2008
Key facts
- NPI
- 1578633699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901009242 (MI)
- Legal business name
- ROBERT J. JOHNSON, D.D.S., P.C.
- Practice address
- 400 Lake St
Ste 101
Ontonagon, MI 49953-1034 - Phone
- (906) 884-4040
- Fax
- (906) 884-4080
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert J Johnson, D.D.S.
- Title
- Dentist
- Phone
- (906) 884-4040
Practitioners 1
-
Robert J Johnson, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 2901009242 | MI | Yes |
Addresses
Primary practice location
400 Lake St
Ste 101
Ontonagon, MI 49953-1034
Mailing address
400 Lake St
Ste 101
Ontonagon, MI 49953-1034
Phone (906) 884-4040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1704352 | Medicaid | MI |
Other providers in Ontonagon, MI
- Rachel Marie Nowicki
- Jacek Olszewski
- Ontonagon Community Health Center
- Michelle Outwater
- Brittany Ann Penegor
- Stephanie Schultz
- Jennifer Steinecke
- Steven N Gervae MD PC
- Strong Medical Center PC
- Joseph Anthony Strong
All providers in Ontonagon, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2008. 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.