# AN-LOUISE JOHNSON DMD MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457450165
- **Authorized official:** DR. AN-LOUISE JOHNSON DMD MD (PRESIDENT)
- **Authorized official phone:** (781) 545-6565

## Contact information

- **Practice address:** 56 NEW DRIFTWAY, SUITE 309, SCITUATE, MA 02066-4533
- **Practice address phone:** (781) 545-6565
- **Practice address fax:** (781) 545-6597
- **Mailing address:** PO BOX 363, SCITUATE, MA 02066-0363
- **Mailing address phone:** (781) 545-6565
- **Mailing address fax:** (781) 545-6597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 20760 | MA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 10/19/2007