Roger Johansen, D.M.D

NPI 1457484115 · on the registry since 2007 · sole proprietor

Practice

Address: 110 Bergen St
Njds Room D 837
Newark, NJ 07103
Phone: (973) 972-4526
Organisation at this address: Univ Of Med & Dent Of Nj
Rutgers School Of Dental Medicine
Rutgers School Of Dental Medicine
Rutgers University Diagnostic Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 161

Registry record

Primary taxonomy: Prosthodontics
1223P0700X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey