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General NPI Number Information
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NPI Number | 1811107287
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Entity Type | Individual
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Provider Name | AARON STUART JOHNSON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 930 W AVON RD STE 14
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2759
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Country | US
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Telephone | 248-656-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 5347 CRYSTAL CREEK LN
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City | WASHINGTON TOWNSHIP
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State | MI
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Zip | 48094-2674
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Country | US
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Telephone | 810-516-3482
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Fax |
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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 | 2901019573
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License Number State | MI
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