NPI 1417067208

Peter B Johnson, DMD

Practitioner Dentist Houlton, ME

Practice location

Address: 80 North St, Houlton, ME 04730-1835
Phone: (207) 532-9587
Fax: (207) 532-2670

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 3483 (ME)

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Registry record

NPI: 1417067208
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 8 Jul 2007

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.