| Gary W Johnson, D.d.s. | |
|
1322 E Michigan Ave Ste 303 Lansing MI 48912-2199 | |
| (517) 374-7100 | |
| (517) 374-6566 |
| Full Name | Gary W Johnson, D.d.s. |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1322 E Michigan Ave, Lansing, Michigan |
| Authorized Official Name and Position | Gary William Johnson (DENTIST) |
| Authorized Official Contact | 5173747100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary W Johnson, D.d.s. 1322 E Michigan Ave Ste 303 Lansing MI 48912-2199 Ph: (517) 374-7100 | Gary W Johnson, D.d.s. 1322 E Michigan Ave Ste 303 Lansing MI 48912-2199 Ph: (517) 374-7100 |
| NPI Number | 1225135429 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225135429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 9995 (Michigan) | Primary |
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