MEDICARE: SARAH N. JOHNSON DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN 21810	FL

General Provider Information

NPI Number	:	1043667223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH N. JOHNSON DDS

Provider Business Mailing Address
First Line	:	100 MADRID BLVD UNIT 414
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-8929
Country	:	US
Telephone Number	:	941-242-8637
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MADRID BLVD UNIT 414
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-8929
Country	:	US
Telephone Number	:	941-242-8637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2016
Last Update Date	:	06/10/2025

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