| Robert J. Johnson, D.d.s., P.c. | |
|
400 Lake St Ste 101 Ontonagon MI 49953-1034 | |
| (906) 884-4040 | |
| (906) 884-4080 |
| Full Name | Robert J. Johnson, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 400 Lake St, Ontonagon, Michigan |
| Authorized Official Name and Position | Robert J Johnson (DENTIST) |
| Authorized Official Contact | 9068844040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Johnson, D.d.s., P.c. 400 Lake St Ste 101 Ontonagon MI 49953-1034 Ph: (906) 884-4040 | Robert J. Johnson, D.d.s., P.c. 400 Lake St Ste 101 Ontonagon MI 49953-1034 Ph: (906) 884-4040 |
| NPI Number | 1578633699 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578633699 | NPI | - | NPPES |
| 1704352 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901009242 (Michigan) | Primary |