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Bryan D. Johnson, Dds, Pa
General Practice Dentistry in Madison Lake, Minnesota
NPI 1043208267

Bryan D. Johnson, Dds, Pa is a General Practice Dentistry based in Madison Lake, MN and is specialized in General Practice. Bryan D. Johnson, Dds, Pa practices in Madison Lake, MN. The NPI Number for Bryan D. Johnson, Dds, Pa is 1043208267 and holds a License No. D9815 (Minnesota).

The current practice location address for Bryan D. Johnson, Dds, Pa is 516 Main Street, Madison Lake, MN and can be reached out via phone at 507-243-3747 and via fax at 507-243-3866.

Location: 516 Main Street, Madison Lake, MN, 56063-0458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043208267
Provider Name
Bryan D. Johnson, Dds, Pa
Credential
Provider Entity Type
Organization
Address
516 Main Street, Madison Lake, MN, 56063-0458
Phone Number
507-243-3747
Fax Number
507-243-3866
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41321JO 01 MN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
516 Main Street
City
Madison Lake
State
Minnesota
Zip
56063
Phone Number
507-243-3747
Fax Number
507-243-3866
person
Provider Business Mailing Address Details
Address
516 Main Street
City
Madison Lake
State
Minnesota
Zip
56063
Phone Number
507-243-3747
Fax Number
507-243-3866
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D9815 (Minnesota)
Definition
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.
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