Marc Roy Johnson, DMD

General Practice Dentistry · Lithia, FL

Individual Active NPI

NPI number 1265645683

Practice location

16737 Fishhawk Blvd
Lithia, FL 33547-3860
Phone
(813) 662-7171
Fax
(813) 662-3024

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NPI record

NPI
1265645683
Entity type
Individual (Type 1)
Enumeration date
May 8, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN15183 FL

About Dr. Johnson

Marc Roy Johnson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 16737 Fishhawk Blvd, Lithia, FL 33547-3860. The NPI number 1265645683 was assigned on May 8, 2007 and the record was last updated on July 8, 2007.

Dr. Johnson lists a license in the registry: #DN15183 (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 Marc Roy Johnson, DMD?

The NPI number is 1265645683.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (813) 662-7171.

Where is Dr. Johnson located?

16737 Fishhawk Blvd, Lithia, FL 33547-3860.

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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