Mark Leslie Johnson, D.D.S.

General Practice Dentistry · Flagler Beach, FL

Individual Active NPI

NPI number 1154443513

Practice location

215 S 3rd St
Flagler Beach, FL 32136-3613
Phone
(386) 439-9688
Fax
(386) 439-1915

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NPI record

NPI
1154443513
Entity type
Individual (Type 1)
Enumeration date
April 5, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN15035 FL

Mailing address

990 Lambert Ave
P.O.Box 166
Flagler Beach, FL 32136-3015
Phone
(386) 334-4968

About Dr. Johnson

Mark Leslie Johnson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 215 S 3rd St, Flagler Beach, FL 32136-3613. The NPI number 1154443513 was assigned on April 5, 2007 and the record was last updated on July 8, 2007.

Dr. Johnson lists a license in the registry: #DN15035 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Leslie Johnson, D.D.S.?

The NPI number is 1154443513.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (386) 439-9688.

Where is Dr. Johnson located?

215 S 3rd St, Flagler Beach, FL 32136-3613.

What is the taxonomy code for Dr. Johnson?

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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