National Provider Identifier
Marc G Johnson, D.D.S.
Marc G Johnson, D.D.S. is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Canandaigua, NY and a listed phone number of (585) 394-3322.
Profile Overview
- NPI
- 1689770679
- Provider Type
- Individual
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- September 16, 2006
- Last Updated
- April 27, 2010
Practice Location
- 500 N Main St
- Canandaigua, NY 14424-1022
Phone: (585) 394-3322
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
- NPI
- 1689770679
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Marc
- Middle Name
- G
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 500 N Main St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1022
- Mailing Country
- US
- Mailing Phone
- (585) 394-3322
- Mailing Fax
- (585) 394-1175
- Practice Street Address
- 500 N Main St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1022
- Practice Country
- US
- Practice Phone
- (585) 394-3322
- Practice Fax
- (585) 394-1175
- Enumeration Date
- September 16, 2006
- Last Updated
- April 27, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)