Dr. Larry A Johnson, DDS
Dentist, Periodontics in Sturbridge, Massachusetts
1811147598- Practice location
- 69 Hall Road, Sturbridge, MA 07566
- Phone
- 508-347-2673
- Fax
- 508-847-5085
- Last updated
- September 30, 2008
Larry A Johnson is a Dentist, Periodontics based in Sturbridge, MA. Larry A Johnson practices in Sturbridge, MA and has the professional credentials of DDS. The NPI Number for Larry A Johnson is 1811147598 and holds a License No. 12356 (MA). The current practice location address for Larry A Johnson is 69 Hall Road, Sturbridge, MA 07566 and can be reached out via phone at 508-347-2673 and via fax at 508-847-5085.
Provider Profile Details
- NPI Number
- 1811147598
- Provider Name
- Larry A Johnson
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 69 Hall Road, Sturbridge, MA 07566
- Phone Number
- 508-347-2673
- Fax Number
- 508-847-5085
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 30, 2008
- Last Update Date
- September 30, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 69 Hall Road
Sturbridge, MA 07566 - City
- Sturbridge
- State
- Massachusetts
- Zip
- 07566
- Phone Number
- 508-347-2673
- Fax Number
- 508-847-5085
Provider Business Mailing Address Details
- Address
- 69 Hall Road
Sturbridge, MA 07566 - City
- Sturbridge
- State
- MA
- Zip
- 07566
- Phone Number
- 508-347-2673
- Fax Number
- 508-847-5085
License Information
- License Number (1)
- 12356
- License State (1)
- MA
- Taxonomy (1)
- Dentist, Periodontics · 1223P0300X · Primary
- License Number (2)
- 006125
- License State (2)
- CT
- Taxonomy (2)
- Dentist, Periodontics · 1223P0300X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Larry A Johnson, DDS?
The NPI number of Dr. Larry A Johnson, DDS is 1811147598. It was assigned on September 30, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Larry A Johnson, DDS?
Dr. Larry A Johnson, DDS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 12356.
Where does Dr. Larry A Johnson, DDS practice?
The practice location is 69 Hall Road, Sturbridge, MA 07566. The office can be reached at 508-347-2673 (phone) or 508-847-5085 (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 1811147598 directly on the NPPES registry website.