ANTOINE G JOHNSON DDS LLC NPI 1679902407

NPI Details

ANTOINE G JOHNSON DDS LLC is an oral maxillofacial surgery in Columbia, MD. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. ANTOINE G JOHNSON DDS LLC NPI is 1679902407. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Genesis Oral Surgery.

The provider's business location address is:

8860 COLUMBIA 100 PARKWAY
SUITE 308
COLUMBIA, MD
ZIP 21045
Phone: (410) 465-6800
Fax: (410) 461-4727

The provider's authorized official is Antoine Gerard Johnson .
The authorized official title is Oral Surgeon and has the following contact phone number (410) 465-6800.

The enumeration date for this NPI number is 11/2/2013 and was last updated on 9/29/2021.

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: