Larry a Johnson DDS PC

NPI #1437247889 in Sturbridge, Massachusetts

Provider Information

NPI Number: 1437247889
Entity Type: Organization
Organization Name: Larry a Johnson DDS PC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Oct 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 69 HALL ROAD
City: Sturbridge
State: Massachusetts
ZIP Code: 01566
Phone: (508) 347-2673

Authorized Official

Name: DR. LARRY A JOHNSON, DDS
Title: PERIODENTIST
Phone: (508) 347-2673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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