Michael D. Johnson, D.d.s.,p.c.

NPI #1477801298 in Elgin, Illinois

Provider Information

NPI Number: 1477801298
Entity Type: Organization
Organization Name: Michael D. Johnson, D.d.s.,p.c.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 28, 2012
Last Updated: Aug 28, 2012

Practice Location

Address: 2090 LARKIN AVE
Address 2: UNIT ONE-REAR
City: Elgin
State: Illinois
ZIP Code: 60123-5845
Phone: (847) 741-6217

Authorized Official

Name: DR. MICHAEL DAVID JOHNSON, D.D.S.
Title: PRESIDENT
Phone: (847) 741-6217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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