Mark R Johnson,dds,pa

NPI #1790826360 in Old Tappan, New Jersey

Provider Information

NPI Number: 1790826360
Entity Type: Organization
Organization Name: Mark R Johnson,dds,pa
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 335 OLD TAPPAN RD
City: Old Tappan
State: New Jersey
ZIP Code: 07675-6805
Phone: (201) 666-2444

Authorized Official

Name: DR. MARK R JOHNSON, DDS
Title: PRESIDENT
Phone: (201) 666-2444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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