Individual
DR. MICHAEL P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
246 GOOSE LN STE 204, GUILFORD, CT 06437-2186
(203) 453-4381
(203) 458-5085
Mailing address
246 GOOSE LN STE 204, GUILFORD, CT 06437-2186
(203) 453-7700
(203) 458-5085
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9437
CT
Other
Enumeration date
09/06/2005
Last updated
04/16/2021
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