| Dr. Robert W. Johnson, L.l.c. | |
|
515 W Waddil St Post Office Box 307 Marksville LA 71351-2648 | |
| (318) 253-5141 | |
| (318) 240-8735 |
| Full Name | Dr. Robert W. Johnson, L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 515 W Waddil St, Marksville, Louisiana |
| Authorized Official Name and Position | Robert Allen Johnson (DIRECTOR) |
| Authorized Official Contact | 3182530935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Robert W. Johnson, L.l.c. 515 W Waddil St Post Office Box 307 Marksville LA 71351-2648 Ph: (318) 253-5141 | Dr. Robert W. Johnson, L.l.c. 515 W Waddil St Post Office Box 307 Marksville LA 71351-2648 Ph: (318) 253-5141 |
| NPI Number | 1427369891 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 06/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427369891 | NPI | - | NPPES |
| 1823601 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |