person
Mark W Johnson, DMD
General Practice Dentistry in Thayne, Wyoming
NPI 1629121496

Mark W Johnson is a General Practice Dentistry based in Thayne, WY and is specialized in General Practice. Mark W Johnson practices in Thayne, WY and has the professional credentials of DMD. The NPI Number for Mark W Johnson is 1629121496 and holds a License No. 1130 (Wyoming).

The current practice location address for Mark W Johnson is 487 N Main, Thayne, WY and can be reached out via phone at 307-883-4222 and via fax at 307-883-4223. You can also correspond with Mark W Johnson through the mailing address at PO BOX 1365, THAYNE, WY - 83127-1365 (mailing address contact number: 307-883-4222).

Location: 487 N Main, Thayne, WY, 83127-1365
person
Provider Profile Details
NPI Number
1629121496
Provider Name
Mark W Johnson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
487 N Main, Thayne, WY, 83127-1365
Phone Number
307-883-4222
Fax Number
307-883-4223
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
124642900 05 WY
institution
Provider Business Practice Location Address Details
Address
487 N Main
City
State
Zip
83127
Phone Number
307-883-4222
Fax Number
307-883-4223
person
Provider Business Mailing Address Details
Address
Po Box 1365
City
State
Zip
83127-1365
Phone Number
307-883-4222
Fax Number
307-883-4223
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
1130 (Wyoming)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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