Dr Mark Leslie Johnson, DDS is a
Dentist - General Practice based in Flagler Beach, Florida. Dr Mark Leslie Johnson is licensed to practice in Florida (license number DN15035) and his current practice location is
215 S 3rd St, Flagler Beach, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 439-9688.
NPI number for Dr Mark Leslie Johnson is 1154443513 and his current mailing address is 990 Lambert Ave, P.o.box 166, Flagler Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154443513.
Healthcare Provider's Profile
| Full Name | Dr Mark Leslie Johnson |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 215 S 3rd St, Flagler Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154443513
- Provider Enumeration Date: 04/05/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mark Leslie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154443513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DN15035 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Leslie Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark Leslie Johnson, DDS
990 Lambert Ave, P.o.box 166,
Flagler Beach, FL 32136-3015
Ph: (386) 334-4968 | Dr Mark Leslie Johnson, DDS
215 S 3rd St,
Flagler Beach, FL 32136-3613
Ph: (386) 439-9688 |
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