Provider Demographics
NPI:1699477083
Name:ANTHONY G. JOHNSON, D.D.S., P.C.
Entity type:Organization
Organization Name:ANTHONY G. JOHNSON, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-249-5522
Mailing Address - Street 1:3060 MITCHELLVILLE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3968
Mailing Address - Country:US
Mailing Address - Phone:301-249-5522
Mailing Address - Fax:240-786-6459
Practice Address - Street 1:3060 MITCHELLVILLE RD STE 108
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3968
Practice Address - Country:US
Practice Address - Phone:301-249-5522
Practice Address - Fax:240-786-6459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty