DR. Larry A Johnson, DDS

NPI #1811147598 in Sturbridge, Massachusetts

Provider Information

NPI Number: 1811147598
Entity Type: Individual
Name: DR. Larry A Johnson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Sep 30, 2008
Last Updated: Sep 30, 2008

Practice Location

Address: 69 HALL ROAD
City: Sturbridge
State: Massachusetts
ZIP Code: 07566
Phone: (508) 347-2673

Specialties & Taxonomy Codes

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

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Organizations

Provider Name	Specialty	City
Larry a Johnson DDS PC	Dentist - Periodontics	Sturbridge	AI Deep Dive

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