Organization
JOHNSON CITY FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSEON (COO)
(440) 823-6790
Entity
Organization
Contact information
Practice address
145 OAKDALE RD, JOHNSON CITY, NY 13790-1766
(607) 217-5853
Mailing address
145 OAKDALE RD, JOHNSON CITY, NY 13790-1766
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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