Roger Edmund Johansen, D.M.D.
Prosthodontics · Newark, NJ
Practice location
110 Bergen StNJDS Room D 837
Newark, NJ 07103-2495
- Phone
- (973) 972-4526
NPI record
- NPI
- 1457484115
- Entity type
- Individual (Type 1)
- Enumeration date
- March 13, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthodontics Primary | 1223P0700X |
14977 | NJ |
Mailing address
518 Gregory AveA-105
Weehawken, NJ 07086-5706
- Phone
- (201) 920-9026
About Dr. Johansen
Roger Edmund Johansen, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 110 Bergen St, NJDS Room D 837, Newark, NJ 07103-2495. The NPI number 1457484115 was assigned on March 13, 2007 and the record was last updated on July 8, 2007.
Dr. Johansen lists a license in the registry: #14977 (NJ) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Roger Edmund Johansen, D.M.D.?
The NPI number is 1457484115.
What is the phone number of Dr. Johansen?
The phone number listed for the practice location is (973) 972-4526.
Where is Dr. Johansen located?
110 Bergen St, NJDS Room D 837, Newark, NJ 07103-2495.
What is the taxonomy code for Dr. Johansen?
The primary taxonomy code is 1223P0700X – Prosthodontics.
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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