Individual
DR. MICHAEL ALAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
447 E LINE ST, GENEVA, IN 46740-8936
(260) 368-7500
(260) 368-7167
Mailing address
6204 W 300 S-1 # SOUTH-1, BLUFFTON, IN 46714-9516
(260) 565-4506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010412
IN
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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