Mark W Johnson, DMD is a
Dentist - General Practice based in Thayne, Wyoming. Mark W Johnson is licensed to practice in Wyoming (license number 1130) and his current practice location is
487 N Main, Suite B, Thayne, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(307) 883-4222.
NPI number for Mark W Johnson is 1629121496 and his current mailing address is Po Box 1365, Thayne, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629121496.
Healthcare Provider's Profile
| Full Name | Mark W Johnson |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 487 N Main, Thayne, Wyoming |
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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: 1629121496
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 07/30/2014
Medical Identifiers
Medical identifiers for Mark W Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629121496 | NPI | - | NPPES |
| 124642900 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 1130 (Wyoming) | 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. Mark W 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 |
|---|
Mark W Johnson, DMD
Po Box 1365,
Thayne, WY 83127-1365
Ph: (307) 883-4222 | Mark W Johnson, DMD
487 N Main, Suite B,
Thayne, WY 83127
Ph: (307) 883-4222 |
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