MARIE JOHNSON, DDS, LLS


Address: 115 S Wolfe St, Baltimore, MD 21231-1915
Phone: 2023685102

MARIE JOHNSON, DDS, LLS (NPI# 1649729724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649729724
Entity Type Organization
Organization Name MARIE JOHNSON, DDS, LLS
Practice Address 115 S Wolfe St
Baltimore
MD 21231-1915
Practice Telephone 2023685102
Mailing Telephone 2023685102
Enumeration Date 2016-09-29
Last Update Date 2016-09-29
Authorized Official Name DR. MARIE NOELLE JOHNSON (PRESIDENT)
Authorized Official Telephone 2023685102
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
13981 MD Ambulatory Health Care Facilities

Office Location

Street Address 115 S WOLFE ST
City BALTIMORE
State MD
Zip Code 21231-1915

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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1255819470 Sumanya Venkat Rao Dds PC Clinic/Center 3635 Old Court Rd Ste 510, Baltimore, MD 21208-3916 2018-07-31
1558867481 Jones Falls Dental LLC Clinic/Center 2 Hamill Rd Ste 265, Baltimore, MD 21210-1885 2018-03-31
1104271279 Belvedere Square Dental LLC Clinic/Center 14 Ruby Field Ct, Baltimore, MD 21209-1559 2016-04-26
1992180012 Andrew Fried, Dmd LLC Clinic/Center 9712 Belair Road, Suite 304, Baltimore, MD 21236 2015-07-30
1447649900 Byron Bonebreak Dmd LLC Clinic/Center 100 Harborview Dr, Unit 1309, Baltimore, MD 21230-5415 2015-01-21
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1396727681 Ned S Greenberg Dds Pa Clinic/Center 2100 Eastern Blvd, Baltimore, MD 21220-4704 2005-11-14
1942202692 Kernan Dentistry Clinic/Center 2200 Kernan Dr, Dental Suite T500, Baltimore, MD 21207-6665 2005-08-12
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Competitor

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City BALTIMORE
Zip Code 21231

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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