DR. Roger Edmund Johansen, D.M.D. is a prosthodontics dentist in Newark, NJ. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Roger Edmund Johansen, D.M.D. NPI is 1457484115. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
110 BERGEN ST
NJDS ROOM D 837
NEWARK, NJ
ZIP 07103-495
Phone: (973) 972-4526
The NPI 1457484115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/13/2007 and was last updated on 7/8/2007.