Johnson, Marc G

Johnson, Marc G is an individual health care provider with primary practice located at 500 N Main St , Canandaigua NY 14424-1022. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Johnson, Marc G can be contacted via phone (585) 394-3322.

Contact Information

Primary practice address
500 N Main St Canandaigua NY 14424-1022
Fax: (585) 394-1175
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 048311 New York

Profile Details

NPI number 1689770679
LBN Legal business name Johnson, Marc G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Apr 27th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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