| Eric M Johnsen Dmd, Inc | |
|
880 E Main Rd Portsmouth RI 02871-2340 | |
| (401) 683-5855 | |
| Not Available |
| Full Name | Eric M Johnsen Dmd, Inc |
|---|---|
| Speciality | Dentist |
| Location | 880 E Main Rd, Portsmouth, Rhode Island |
| Authorized Official Name and Position | Eric M Johnsen (OWNER) |
| Authorized Official Contact | 4016835855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric M Johnsen Dmd, Inc 880 E Main Rd Portsmouth RI 02871-2340 Ph: (401) 683-5855 | Eric M Johnsen Dmd, Inc 880 E Main Rd Portsmouth RI 02871-2340 Ph: (401) 683-5855 |
| NPI Number | 1740413657 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 08/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740413657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN1945 (Rhode Island) | Primary |
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