NPI 1679902407

Antoine G Johnson DDS LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Columbia, MD

Practice location

Address: 8860 Columbia 100 Parkway Suite 308, Columbia, MD 21045
Phone: (410) 465-6800
Fax: (410) 461-4727

Authorised official

Name: Antoine Gerard Johnson
Title: Oral Surgeon
Phone: (410) 465-6800

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 14853 (MD)

Other Oral & Maxillofacial Surgery providers in Maryland →

Registry record

NPI: 1679902407
Entity type: Organization
NPI issued: 2 Nov 2013
Record last updated: 29 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.