DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHNSON C MIIN, DDS, MSE

Active Sole Proprietor

JOHNSON C MIIN, DDS, MSE is a Oral & Maxillofacial Surgery healthcare provider located in BROCKTON, Massachusetts. NPI 1942463898 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · BROCKTON, MA

Registration Details

NPI Number
1942463898
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2008 (18.05947920526 yrs)
Last Updated
Oct 15, 2014
Licenses
8512 (KY)
DN1856466 (MA)
Sole Proprietor
Yes

Practice Information

Address
1351 MAIN ST
BROCKTON, MA, 023017153
Browse MA providers · Browse ZIP 02301
Phone
5085872000
Fax
5085973552
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Dentist
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in BROCKTON, MA

Name Credential NPI
DR. RICHARD J CATRAMBONE DMD, MD 1538132956
JEFFREY R. PARSONS DMD 1225107154
L. MICHAEL JUVET DDS, MD 1548339476
DR. BRANDON JACOB SAXE DMD 1225598758
DR. KARINA ELEANOR CATRAMBONE D.M.D 1326605767
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.