Organization · Type 2 NPI

Marc G. Johnson

Oral and Maxillofacial Surgery (Dentist) · Rochester, NY

NPI number 1003137381 Active

Practice location

150 Lynnwood Dr
Rochester, NY 14618-2826

Fax (585) 922-4495

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X048311 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1003137381

Marc G. Johnson's National Provider Identifier is 1003137381, issued on Jun 21, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rochester, NY. The record was last updated on Jul 19, 2010.