Most Relevant Information
Provider Data
| NPI Number: | 1003830837 |
| Provider Name: | JOHNNY ROY FUSON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 30. 017343 |
Most Important Dates
| Enumeration Date: | 07/26/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
117 S POPLAR ST
BUCYRUS
OH
448202209
Practice Location Phone/Fax
| Phone: | 4195629901 |
| Fax: | 4195621460 |
Provider Mailing Location
117 S POPLAR ST
BUCYRUS
OH
448202209
Provider Mailing Phone/Fax
| Phone: | 4195629901 |
| Fax: | 4195621460 |