Robert J. Johnson, D.d.s., P.c. | |
400 Lake St Ste 101 Ontonagon MI 49953-1034 | |
(906) 884-4040 | |
(906) 884-4080 |
Full Name | Robert J. Johnson, D.d.s., P.c. |
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Speciality | Dentist - General Practice |
Location | 400 Lake St, Ontonagon, Michigan |
Authorized Official Name and Position | Robert J Johnson (DENTIST) |
Authorized Official Contact | 9068844040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert J. Johnson, D.d.s., P.c. 400 Lake St Ste 101 Ontonagon MI 49953-1034 Ph: (906) 884-4040 | Robert J. Johnson, D.d.s., P.c. 400 Lake St Ste 101 Ontonagon MI 49953-1034 Ph: (906) 884-4040 |
NPI Number | 1578633699 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 01/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578633699 | NPI | - | NPPES |
1704352 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901009242 (Michigan) | Primary |