# ROBERT J. JOHNSON, D.D.S., P.C.

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

## Provider details

- **NPI number:** 1578633699
- **Authorized official:** DR. ROBERT J JOHNSON D.D.S. (DENTIST)
- **Authorized official phone:** (906) 884-4040

## Contact information

- **Practice address:** 400 LAKE ST, STE 101, ONTONAGON, MI 49953-1034
- **Practice address phone:** (906) 884-4040
- **Practice address fax:** (906) 884-4080
- **Mailing address:** 400 LAKE ST, STE 101, ONTONAGON, MI 49953-1034
- **Mailing address phone:** (906) 884-4040
- **Mailing address fax:** (906) 884-4080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901009242 | MI | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 01/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1704352 | — | MI |