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DR. AN-LOUISE JOHNSON DMD MD NPI 1750315180


NPI Information

NPI: 1750315180
Provider Name: DR. AN-LOUISE JOHNSON, DMD, MD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
56 NEW DRIFTWAY
SUITE 309
SCITUATE, MA
ZIP 02066
Phone: (781) 545-6565
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DR. An-louise Johnson, DMD, MD is an oral and maxillofacial surgery dentist in Scituate, MA with 25 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. An-louise Johnson, DMD, MD NPI is 1750315180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

56 NEW DRIFTWAY
SUITE 309
SCITUATE, MA
ZIP 02066-533
Phone: (781) 545-6565
Fax: (781) 545-6597

The NPI 1750315180 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 7/10/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery20760MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1494138OTHERMASSACHUSETTSTUFTS HEALTH PLAN
200020760OTHERMASSACHUSETTSDELTA DENTAL
3X20146MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
4V05596MEDICARE UPINMASSACHUSETTS
5AA37401OTHERMASSACHUSETTSHARVARD PILGRAM HEALTH CA
698018OTHERMASSACHUSETTSFALLON HEALTH CARE
711477985OTHERMASSACHUSETTSAETNA HEALTH CARE
8X12124OTHERMASSACHUSETTSBLUE CROSS AND BLUE SHIEL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.