Individual
DR. AN-LOUISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MD
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
MA
01
—
11477985
AETNA HEALTH CARE
MA
01
—
494138
TUFTS HEALTH PLAN
MA
01
—
98018
FALLON HEALTH CARE
MA
01
—
AA37401
HARVARD PILGRAM HEALTH CA
MA
01
—
X12124
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
07/10/2006
Last updated
07/08/2007
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