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

DR. S MICHAEL JOHNSON, D.D.S.

Active Sole Proprietor

DR. S MICHAEL JOHNSON, D.D.S. is a General Dentistry healthcare provider located in LAKEWOOD, New York. NPI 1962622944 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LAKEWOOD, NY

Registration Details

NPI Number
1962622944
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2007 (19.296235631745 yrs)
Last Updated
Jul 9, 2020
License
040583 (NY)
Sole Proprietor
Yes

Practice Information

Address
133 E FAIRMOUNT AVE
LAKEWOOD, NY, 147501950
Browse NY providers · Browse ZIP 14750
Phone
7167636823
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.