Individual provider · Type 1 NPI
Larry A. Johnson, DDS
Periodontics · Sturbridge, MA
NPI number
1811147598
Active
Practice location
69 Hall Road
Sturbridge, MA 07566
Fax (508) 847-5085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 12356 (MA) |
| Periodontics | 1223P0300X | 006125 (CT) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1811147598
Larry A. Johnson, DDS's National Provider Identifier is 1811147598, issued on Sep 30, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Sturbridge, MA. The record was last updated on Sep 30, 2008.