Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER EDMUND JOHANSEN, D.M.D.
Active Sole ProprietorDR. ROGER EDMUND JOHANSEN, D.M.D. is a Pediatric Dentistry healthcare provider located in NEWARK, New Jersey. NPI 1457484115 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · NEWARK, NJ
Registration Details
- NPI Number
- 1457484115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.382737427619 yrs)
- Last Updated
- Jul 8, 2007
- License
-
14977 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 BERGEN STNJDS ROOM D 837NEWARK, NJ, 071032495Browse NJ providers · Browse ZIP 07103
- Phone
- 9739724526
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in NEWARK, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. JOEL O'HARA MARTIN | BS, DDS, MS | 1346205218 |
| SAUL WEINER | DDS | 1154387405 |
| DR. SATISH C. MULLICK | B.D.S.;D.M.D.; M.S.D | 1659337863 |
| HODA YOUSEF | DMD MS | 1003955329 |
| DR. ROBERT J FLINTON | A.B., M.S., D.D.S. | 1669511994 |
| ASHA SAMANT | DMD | 1386777100 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.