Individual
DR. DOUGLAS W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
248 PLEASANT ST, CONCORD, NH 03301-2588
(603) 224-3339
Mailing address
248 PLEASANT ST, CONCORD, NH 03301-2588
(603) 224-3339
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1225
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89191621
—
NH
Enumeration date
11/10/2006
Last updated
07/08/2007
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