S Johnson, D.D.S

NPI 1962622944 · on the registry since 2007 · sole proprietor

Practice

Address: 133 E Fairmount Ave
Lakewood, NY 14750
Phone: (716) 763-6823
Organisation at this address: Southern Tier Dentistry
Lakewood Pediatric Dentistry Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York