Provider Demographics
NPI:1811107287
Name:JOHNSON, AARON STUART (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:STUART
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5347 CRYSTAL CREEK LN
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48094-2674
Mailing Address - Country:US
Mailing Address - Phone:810-516-3482
Mailing Address - Fax:
Practice Address - Street 1:5347 CRYSTAL CREEK LN
Practice Address - Street 2:
Practice Address - City:WASHINGTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48094-2674
Practice Address - Country:US
Practice Address - Phone:586-271-0603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019573122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist