Individual provider · Type 1 NPI
Marc G. Johnson, DDS
Oral and Maxillofacial Surgery (Dentist) · Canandaigua, NY
NPI number
1689770679
Active
Practice location
500 N Main St
Canandaigua, NY 14424-1022
Fax (585) 394-1175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 048311 (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.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Canandaigua
About NPI 1689770679
Marc G. Johnson, DDS's National Provider Identifier is 1689770679, issued on Sep 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Canandaigua, NY. The record was last updated on Apr 27, 2010.