LARRY A JOHNSON DDS PC NPI 1437247889

NPI Information

LARRY A JOHNSON DDS PC is a periodontics dentist in Sturbridge, MA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. LARRY A JOHNSON DDS PC NPI is 1437247889. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

69 HALL ROAD
STURBRIDGE, MA
ZIP 01566
Phone: (508) 347-2673
Fax: (508) 347-5085

The provider's authorized official is Larry A Johnson .
The authorized official title is Periodentist and has the following contact phone number (508) 347-2673.

The enumeration date for this NPI number is 10/11/2006 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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