Mark W Johnson, DMD, PC

General Practice Dentistry · Thayne, WY

Organization Active NPI

NPI number 1073204533

Practice location

487 N Main St Ste B
Thayne, WY 83127-9768
Phone
(307) 883-4222

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NPI record

NPI
1073204533
Entity type
Organization (Type 2)
Enumeration date
May 16, 2023
Last updated
May 16, 2023
Certified
May 16, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Authorized official

Name
Dr. Mark Johnson, DMD
Title
Dentist
Phone
(307) 883-4222

Other names

  • Riverside Dental

About Mark W Johnson, DMD, PC

Mark W Johnson, DMD, PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 487 N Main St Ste B, Thayne, WY 83127-9768. The NPI number 1073204533 was assigned on May 16, 2023 and the record was last updated on May 16, 2023.

The authorized official for this organization is Dr. Mark Johnson, DMD, Dentist.

Frequently asked questions

What is the NPI number of Mark W Johnson, DMD, PC?

The NPI number is 1073204533.

What is the phone number of Mark W Johnson, DMD, PC?

The phone number listed for the practice location is (307) 883-4222.

Where is Mark W Johnson, DMD, PC located?

487 N Main St Ste B, Thayne, WY 83127-9768.

What is the taxonomy code for Mark W Johnson, DMD, PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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