Organization
AN-LOUISE JOHNSON DMD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AN-LOUISE JOHNSON DMD MD (PRESIDENT)
(781) 545-6565
Entity
Organization
Contact information
Practice address
56 NEW DRIFTWAY, SUITE 309, SCITUATE, MA 02066-4533
(781) 545-6565
(781) 545-6597
Mailing address
PO BOX 363, SCITUATE, MA 02066-0363
(781) 545-6565
(781) 545-6597
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20760
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020760
DELTA DENTAL OF MA
MA
01
—
11477985
AETNA MEDICAL
—
01
—
494138
TUFTS HEALTH CARE
MA
01
—
98018
FALON HEALTH CARE
MA
01
—
AA37401
HARVARD PILGRIM
—
01
—
X12124
BCBS MEDICAL AND DENTAL
—
Enumeration date
09/21/2006
Last updated
10/19/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up