| An-louise Johnson Dmd Md Pc | |
|
56 New Driftway Suite 309 Scituate MA 02066-4533 | |
| (781) 545-6565 | |
| (781) 545-6597 |
| Full Name | An-louise Johnson Dmd Md Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 56 New Driftway, Scituate, Massachusetts |
| Authorized Official Name and Position | An-louise Johnson (PRESIDENT) |
| Authorized Official Contact | 7815456565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| An-louise Johnson Dmd Md Pc Po Box 363 Scituate MA 02066-0363 Ph: (781) 545-6565 | An-louise Johnson Dmd Md Pc 56 New Driftway Suite 309 Scituate MA 02066-4533 Ph: (781) 545-6565 |
| NPI Number | 1457450165 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457450165 | NPI | - | NPPES |
| 494138 | Other | MA | TUFTS HEALTH CARE |
| 98018 | Other | MA | FALON HEALTH CARE |
| 11477985 | Other | AETNA MEDICAL | |
| AA37401 | Other | HARVARD PILGRIM | |
| X12124 | Other | BCBS MEDICAL AND DENTAL | |
| 00020760 | Other | MA | DELTA DENTAL OF MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20760 (Massachusetts) | Primary |
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