Individual provider · Type 1 NPI
Mark Leslie Johnson, DDS
General Practice Dentistry · Flagler Beach, FL
NPI number
1154443513
Active
Practice location
215 S 3rd St
Flagler Beach, FL 32136-3613
Fax (386) 439-1915
Mailing address
990 Lambert Ave, P.o.box 166
Flagler Beach, FL 32136-3015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DN15035 (FL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1154443513
Mark Leslie Johnson, DDS's National Provider Identifier is 1154443513, issued on Apr 5, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Flagler Beach, FL. The record was last updated on Jul 8, 2007.