Individual provider · Type 1 NPI
Mark W. Johnson, DMD
General Practice Dentistry · Thayne, WY
NPI number
1629121496
Active
Practice location
487 N Main, Suite B
Thayne, WY 83127
Fax (307) 883-4223
Mailing address
PO Box 1365
Thayne, WY 83127-1365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 1130 (WY) |
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.
Another provider at this address
About NPI 1629121496
Mark W. Johnson, DMD's National Provider Identifier is 1629121496, issued on Jan 18, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Thayne, WY. The record was last updated on Jul 30, 2014.