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DR. LARRY A JOHNSON DDS
NPI 1811147598
Dentist - Periodontics in Sturbridge, MA

Active since September 30, 2008
69 HALL ROAD, STURBRIDGE, MA 07566(508) 347-2673(508) 847-5085 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Larry A Johnson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY A JOHNSON DDS (NPI 1811147598) is an individual periodontics provider in Sturbridge, Massachusetts, licensed in Massachusetts (12356) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1811147598
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. LARRY A JOHNSONCredential: DDS
Location Address69 HALL ROADSturbridge, MA 07566
Mailing Address69 Hall RoadSturbridge, MA 07566 · (508) 347-2673 · Fax (508) 847-5085
Phone(508) 347-2673
Fax(508) 847-5085
Sole ProprietorYes
Enumeration DateSeptember 30, 2008
✔ NPI 1811147598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in MA · 12356✔ Licensed in CT · 006125
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
69 HALL ROAD, Sturbridge, MA 07566
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Johnson's NPI number?

The NPI number for Larry Johnson is 1811147598. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Larry Johnson located?

Larry Johnson practices at 69 Hall Road, Sturbridge, MA 07566. The listed phone number is (508) 347-2673.

What is Larry Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Larry Johnson was last updated on September 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.