John M Johnson DDS PC

NPI #1235269689 in Groton, Connecticut

Provider Information

NPI Number: 1235269689
Entity Type: Organization
Organization Name: John M Johnson DDS PC
Primary Specialty: Dentist
Enumeration Date: Mar 6, 2007
Last Updated: Jun 30, 2009

Practice Location

Address: 643 GOLD STAR HWY
City: Groton
State: Connecticut
ZIP Code: 06340-6267
Phone: (860) 445-8569

Authorized Official

Name: DR. JOHN M JOHNSON, DDS
Title: OWNER PRESIDENT
Phone: (860) 445-8569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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