National Provider Identifier
S Michael Johnson, D.D.S.
S Michael Johnson, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lakewood, NY and a listed phone number of (716) 763-6823.
Profile Overview
- NPI
- 1962622944
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- May 01, 2007
- Last Updated
- July 09, 2020
Practice Location
- 133 E Fairmount Ave
- Lakewood, NY 14750-1950
Phone: (716) 763-6823
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1962622944
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- S
- Middle Name
- Michael
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 133 E Fairmount Ave
- Mailing City
- Lakewood
- Mailing State
- NY
- Mailing ZIP Code
- 14750-1950
- Mailing Country
- US
- Mailing Phone
- (716) 763-6823
- Practice Street Address
- 133 E Fairmount Ave
- Practice City
- Lakewood
- Practice State
- NY
- Practice ZIP Code
- 14750-1950
- Practice Country
- US
- Practice Phone
- (716) 763-6823
- Enumeration Date
- May 01, 2007
- Last Updated
- July 09, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 09, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)