Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK W JOHNSON, DMD
ActiveMARK W JOHNSON, DMD is a General Dentistry healthcare provider located in THAYNE, Wyoming. NPI 1629121496 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · THAYNE, WY
Registration Details
- NPI Number
- 1629121496
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.530198603343 yrs)
- Last Updated
- Jul 30, 2014
- License
-
1130 (WY)
Practice Information
- Address
-
487 N MAINSUITE BTHAYNE, WY, 83127Browse WY providers · Browse ZIP 83127
- Phone
- 3078834222
- Fax
- 3078834223
- Primary Specialty
-
General Dentistry
1223G0001X
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.