NPI 1306472501

Elizabeth Johnson, RDH

Practitioner Dental Hygienist Hart, MI

Practice location

Address: 3986 N Oceana Dr, Hart, MI 49420-8358
Phone: (231) 893-3808

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2902014126 (MI)

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Registry record

NPI: 1306472501
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2020
Record last updated: 19 Mar 2020

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.