IndividualActive
Marc Johnson, DMD
NPI 1265645683 · General Practice Dentistry · Lithia, FL
Provider details
- NPI number
- 1265645683
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN15183 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16737 Fishhawk Blvd
Lithia, FL 33547-3860
Phone: (813) 662-7171
Fax: (813) 662-3024
Street-level locationGet directions
Mailing address
16737 Fishhawk Blvd
Lithia, FL 33547-3860
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.