Individual provider · NPI-1
Dr. Taylor Amarii Johnson, DDS
Dentist, General Practice · Mount Clemens, MI
NPI number1609558683
StatusActive
Last updated in NPPESSep 25, 2025
Details
- NPI
- 1609558683
- Entity type
- Individual (NPI-1)
- Name
- Dr. Taylor Amarii Johnson
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2023
- Certification date
- Sep 25, 2025
- Last updated
- Sep 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN28366 | FL | Yes |
| 1223G0001X | Dentist, General Practice | 2901602404 | MI |
Practice location
18 Market St Ste CMount Clemens, MI 48043
Phone 586-783-2222
Mailing address
18 Market St Ste CMount Clemens, MI 48043-7403
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