Larry A Johnson Dds Pc | |
69 Hall Road Sturbridge MA 01566 | |
(508) 347-2673 | |
(508) 347-5085 |
Full Name | Larry A Johnson Dds Pc |
---|---|
Speciality | Dentist - Periodontics |
Location | 69 Hall Road, Sturbridge, Massachusetts |
Authorized Official Name and Position | Larry A Johnson (PERIODENTIST) |
Authorized Official Contact | 5083472673 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Larry A Johnson Dds Pc 69 Hall Road Sturbridge MA 01566 Ph: (508) 347-2673 | Larry A Johnson Dds Pc 69 Hall Road Sturbridge MA 01566 Ph: (508) 347-2673 |
NPI Number | 1437247889 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437247889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 12356 (Massachusetts) | Primary |
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