Dr Wallace B Johnson, DDS is a
Dentist based in Mayville, New York. Dr Wallace B Johnson is licensed to practice in New York (license number 161107632) and his current practice location is
West Lake Road, Mayville, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 753-7612.
NPI number for Dr Wallace B Johnson is 1932355229 and his current mailing address is Po Box 126, Mayville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932355229.
Healthcare Provider's Profile
| Full Name | Dr Wallace B Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | West Lake Road, Mayville, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932355229
- Provider Enumeration Date: 08/18/2008
- Last Update Date: 08/18/2008
Medical Identifiers
Medical identifiers for Dr Wallace B Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932355229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 161107632 (New York) | 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 Wallace B 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 Wallace B Johnson, DDS
Po Box 126,
Mayville, NY 14757-0126
Ph: (716) 753-7612 | Dr Wallace B Johnson, DDS
West Lake Road,
Mayville, NY 14757-0126
Ph: (716) 753-7612 |
Reviews and Comments