Mark C. Johnsen, DDS

Dentist · Highland, CA

Individual Active NPI

NPI number 1245390988

Practice location

6982 Boulder Avenue
Highland, CA 92346
Phone
(909) 862-2121
Fax
(909) 862-6648

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NPI record

NPI
1245390988
Entity type
Individual (Type 1)
Enumeration date
December 11, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 40622 CA

Mailing address

15707 Rockfield Blvd
Suite 265
Irvine, CA 92618
Phone
(949) 600-7046
Fax
(949) 215-6106

About Dr. Johnsen

Mark C. Johnsen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6982 Boulder Avenue, Highland, CA 92346. The NPI number 1245390988 was assigned on December 11, 2006 and the record was last updated on July 8, 2007.

Dr. Johnsen lists a license in the registry: #40622 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark C. Johnsen, DDS?

The NPI number is 1245390988.

What is the phone number of Dr. Johnsen?

The phone number listed for the practice location is (909) 862-2121.

Where is Dr. Johnsen located?

6982 Boulder Avenue, Highland, CA 92346.

What is the taxonomy code for Dr. Johnsen?

The primary taxonomy code is 122300000X – Dentist.

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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