Individual
DR. FREDERICK STEPHEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
221 W PENN AVE, STE 213, CLEONA, PA 17042
(717) 272-8500
(717) 272-6101
Mailing address
2071 GRAMERCY PLACE, HUMMELSTOWN, PA 17036
(717) 269-9711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS020635L
PA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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