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NPI 1184888026

NPI 1184888026 : ERIK ARTHUR JOHNSON DMD : PRESQUE ISLE, ME

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General NPI Number Information
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    NPI Number           |    1184888026
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    Entity Type          |    Individual 
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    Provider Name        |    ERIK ARTHUR JOHNSON DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/10/2008
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    Last Update Date     |    03/25/2025
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Provider Practice Location Address
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    Address Line         |    181 ACADEMY ST STE 4 
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    City                 |    PRESQUE ISLE
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    State                |    ME
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    Zip                  |    04769-3178
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    Country              |    US
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    Telephone            |    207-462-4767
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    Fax                  |    207-512-1702
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4197 
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    City                 |    PRESQUE ISLE
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    State                |    ME
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    Zip                  |    04769-4197
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    Country              |    US
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    Telephone            |    207-462-4767
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    Fax                  |    207-512-1702
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    4076
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    License Number State |    ME
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