GARY W JOHNSON D.D.S. NPI 1225135429

NPI Information

GARY W JOHNSON, D.D.S. is a prosthodontics dentist in Lansing, MI. 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. GARY W JOHNSON, D.D.S. NPI is 1225135429. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1322 E MICHIGAN AVE
STE 303
LANSING, MI
ZIP 48912-199
Phone: (517) 374-7100
Fax: (517) 374-6566

The provider's authorized official is Gary William Johnson .
The authorized official title is Dentist and has the following contact phone number (517) 374-7100.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

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:

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