Active NPIIndividual providerSole proprietor

Dr. Roger E Johansen, DMD

Dentist, Prosthodontics in Newark, New Jersey

NPI Number1457484115
Practice location
110 Bergen St, Njds Room D 837, Newark, NJ 07103-2495
Fax
—
Last updated
July 8, 2007

Roger Edmund Johansen is a Dentist, Prosthodontics based in Newark, NJ. Roger Edmund Johansen practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Roger Edmund Johansen is 1457484115 and holds a License No. 14977 (NJ). The current practice location address for Roger Edmund Johansen is 110 Bergen St, Njds Room D 837, Newark, NJ 07103-2495 and can be reached out via phone at 973-972-4526.

Provider Profile Details

NPI Number
1457484115
Provider Name
Roger Edmund Johansen
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
110 Bergen St, Njds Room D 837, Newark, NJ 07103-2495
Phone Number
973-972-4526
Primary Taxonomy
Dentist, Prosthodontics · 1223P0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 13, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Bergen St
Njds Room D 837
Newark, NJ 07103-2495
City
Newark
Zip
07103-2495
Phone Number
973-972-4526
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
518 Gregory Ave
A-105
Weehawken, NJ 07086-5706
City
Weehawken
State
NJ
Zip
07086-5706
Phone Number
201-920-9026

License Information

License Number
14977
License State
NJ
Taxonomy
Dentist, Prosthodontics · 1223P0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Roger E Johansen, DMD?

The NPI number of Dr. Roger E Johansen, DMD is 1457484115. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Roger E Johansen, DMD?

Dr. Roger E Johansen, DMD is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in NJ under license number 14977.

Where does Dr. Roger E Johansen, DMD practice?

The practice location is 110 Bergen St, Njds Room D 837, Newark, NJ 07103-2495. The office can be reached at 973-972-4526 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457484115 directly on the NPPES registry website.

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