Individual
DR. EMILY AHLUM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1055 MADISON MARKETPLACE, BASSETT HEALTHCARE HAMILTON-MADISON HEALTH CENTER, HAMILTON, NY 13346-2343
(315) 825-3100
(315) 825-3017
Mailing address
1055 MADISON MARKETPLACE, HAMILTON, NY 13346-2343
(315) 825-3100
(315) 825-3017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054985
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03362489
—
NY
Enumeration date
08/02/2010
Last updated
08/29/2016
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