Provider Demographics
NPI:1184888026
Name:JOHNSON, ERIK ARTHUR (DMD)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:ARTHUR
Last Name:JOHNSON
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4197
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-4197
Mailing Address - Country:US
Mailing Address - Phone:207-462-4767
Mailing Address - Fax:207-512-1702
Practice Address - Street 1:181 ACADEMY ST STE 4
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-3178
Practice Address - Country:US
Practice Address - Phone:207-462-4767
Practice Address - Fax:207-512-1702
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME4076122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME4076OtherMAINE LICENSE NUMBER