Individual provider · Type 1 NPI

Roger Edmund Johansen, DMD

Prosthodontics · Newark, NJ

NPI number 1457484115 Active

Practice location

110 Bergen St, Njds Room D 837
Newark, NJ 07103-2495

Call (973) 972-4526 Map

Mailing address

518 Gregory Ave, A-105
Weehawken, NJ 07086-5706

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X14977 (NJ)

Prosthodontics: 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.

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About NPI 1457484115

Roger Edmund Johansen, DMD's National Provider Identifier is 1457484115, issued on Mar 13, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Newark, NJ. The record was last updated on Jul 8, 2007.