| John M Johnson Dds Pc | |
|
643 Gold Star Hwy Groton CT 06340-6267 | |
| (860) 445-8569 | |
| (860) 446-8434 |
| Full Name | John M Johnson Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 643 Gold Star Hwy, Groton, Connecticut |
| Authorized Official Name and Position | John M Johnson (OWNER PRESIDENT) |
| Authorized Official Contact | 8604458569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Johnson Dds Pc 643 Gold Star Hwy Groton CT 06340-6267 Ph: (860) 445-8569 | John M Johnson Dds Pc 643 Gold Star Hwy Groton CT 06340-6267 Ph: (860) 445-8569 |
| NPI Number | 1235269689 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 06/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235269689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6800 (Connecticut) | Primary |
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