Active NPIOrganization

Mark R Johnson,dds,pa

Dentist, General Practice in Old Tappan, New Jersey

NPI Number1790826360
Practice location
335 Old Tappan RD, Old Tappan, NJ 07675-6805
Fax
201-666-2444
Last updated
August 22, 2020

Mark R Johnson,dds,pa is a healthcare organization based in Old Tappan, NJ. Mark R Johnson,dds,pa practices in Old Tappan, NJ. The NPI Number for Mark R Johnson,dds,pa is 1790826360 and holds a License No. 7937 (NJ). The current practice location address for Mark R Johnson,dds,pa is 335 Old Tappan RD, Old Tappan, NJ 07675-6805 and can be reached out via phone at 201-666-2444 and via fax at 201-666-2444.

Provider Profile Details

NPI Number
1790826360
Provider Name
Mark R Johnson,dds,pa
Provider Entity Type
Organization
Address
335 Old Tappan RD, Old Tappan, NJ 07675-6805
Phone Number
201-666-2444
Fax Number
201-666-2444
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Mark R Johnson, DDS · President · 201-666-2444
Provider Enumeration Date
February 8, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
335 Old Tappan RD
Old Tappan, NJ 07675-6805
Zip
07675-6805
Phone Number
201-666-2444
Fax Number
201-666-2444
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
335 Old Tappan RD
Old Tappan, NJ 07675-6805
City
Old Tappan
State
NJ
Zip
07675-6805
Phone Number
201-666-2444
Fax Number
201-666-2444

License Information

License Number
7937
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Mark R Johnson,dds,pa?

The NPI number of Mark R Johnson,dds,pa is 1790826360. It was assigned on February 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Mark R Johnson,dds,pa?

Mark R Johnson,dds,pa is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 7937.

Where does Mark R Johnson,dds,pa practice?

The practice location is 335 Old Tappan RD, Old Tappan, NJ 07675-6805. The office can be reached at 201-666-2444 (phone) or 201-666-2444 (fax).

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 1790826360 directly on the NPPES registry website.

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