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Active NPI 1265645683 Individual Practitioner Male Practitioner

Dr. Marc Roy Johnson , DMD

Dentist - General Practice • Lithia, FL

Professional Overview & Biography Verified Profile Summary

Dr. Marc Johnson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lithia, FL. Practice services are available at 16737 FISHHAWK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16737 Fishhawk Blvd

Lithia, FL 335473860

Telephone 8136627171
Fax 8136623024
Associated Practice Facility / Clinic
🏢 Fishhawk Family Dental Facility NPI 1760695183

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lithia, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Lithia, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN15183

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Christopher Judson , DMD

Dentist - General Practice

NPI 1144433566

Doctor of Dental Medicine

Dr. Megan Guerra , DMD

Dentist - General Practice

NPI 1740857069

Doctor of Dental Medicine

NPI 1902019326

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 16737 FISHHAWK BLVD, LITHIA, FL 335473860 (Tel: 8136627171)

📍
Updated Business Mailing Address July 08, 2007

Registered at 16737 FISHHAWK BLVD, LITHIA, FL 335473860 (Tel: 8136627171)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARC JOHNSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN15183 in FL)

🟢
Initial NPI Registration & Enumeration May 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265645683
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

16737 Fishhawk Blvd

Lithia, FL 335473860

Phone: 8136627171

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.