Individual
DR. ERIC MARTIN JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
880 E MAIN RD, PORTSMOUTH, RI 02871-2340
(401) 683-5855
(401) 683-5855
Mailing address
880 E MAIN RD, PORTSMOUTH, RI 02871-2340
(401) 683-5855
(401) 683-5855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN 1945
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EJ01259
—
RI
Enumeration date
03/26/2007
Last updated
07/09/2007
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