Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marc Ernest Johnson, DDS

Individual provider Dentist · NPI 1154414084

Dr. Marc Ernest Johnson, DDS is a Dentist in Centralia, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1407 Kresky Ave
Centralia, WA 98531-8912
Phone: (360) 736-9397
Fax: (360) 736-9397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE00009235 (WA)

Record details

NPI number1154414084
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1407 Kresky Ave, Centralia, WA 98531-8912

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