| Marc G. Johnson | |
|
150 Lynnwood Dr Rochester NY 14618-2826 | |
| (585) 472-6326 | |
| (585) 922-4495 |
| Full Name | Marc G. Johnson |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 150 Lynnwood Dr, Rochester, New York |
| Authorized Official Name and Position | Marc Gregory Johnson (ORAL SURGEON) |
| Authorized Official Contact | 5854726326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc G. Johnson 150 Lynnwood Dr Rochester NY 14618-2826 Ph: (585) 472-6326 | Marc G. Johnson 150 Lynnwood Dr Rochester NY 14618-2826 Ph: (585) 472-6326 |
| NPI Number | 1003137381 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003137381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 048311 (New York) | Primary |
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