Organization
JOHN M JOHNSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M JOHNSON DDS (OWNER PRESIDENT)
(860) 445-8569
Entity
Organization
Contact information
Practice address
643 GOLD STAR HWY, GROTON, CT 06340-6267
(860) 445-8569
(860) 446-8434
Mailing address
643 GOLD STAR HWY, GROTON, CT 06340-6267
(860) 445-8569
(860) 446-8434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6800
CT
Other
Enumeration date
03/06/2007
Last updated
06/30/2009
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