| Mark R Johnson,dds,pa | |
|
335 Old Tappan Rd Old Tappan NJ 07675-6805 | |
| (201) 666-2444 | |
| (201) 666-2444 |
| Full Name | Mark R Johnson,dds,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 335 Old Tappan Rd, Old Tappan, New Jersey |
| Authorized Official Name and Position | Mark R Johnson (PRESIDENT) |
| Authorized Official Contact | 2016662444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Johnson,dds,pa 335 Old Tappan Rd Old Tappan NJ 07675-6805 Ph: (201) 666-2444 | Mark R Johnson,dds,pa 335 Old Tappan Rd Old Tappan NJ 07675-6805 Ph: (201) 666-2444 |
| NPI Number | 1790826360 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790826360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7937 (New Jersey) | Primary |
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