Mark W Johnson is a Thayne, Wyoming based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mark W Johnson is 1130 for General Practice Dentistry in Wyoming. His current practice location is 487 N Main, Suite B, Thayne. Patients can reach him at 307-883-4222.
Mark W Johnson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mark W Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mark W Johnson
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
487 N Main, Suite B, Thayne, Wyoming, 83127
Phone:
307-883-4222
Fax:
307-883-4223
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1629121496
NPI Enumeration Date:
18 Jan, 2007
NPI Last Update On:
30 Jul, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark W Johnson are as mentioned below.
License Number
Specialization
State
Status
1130
General Practice Dentistry
Wyoming
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark W Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
124642900
Medicaid
Wyoming
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1365, Thayne, Wyoming
Zip:
83127-1365
Phone Number:
307-883-4222
Fax Number:
307-883-4223
Patients can reach Mark W Johnson at 487 N Main, Suite B, Thayne, Wyoming or can call to book an appointment on 307-883-4222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.