person
Dr. Michael C Johnson, DMD
Oral and Maxillofacial Surgery (Dentist) in Excelsior, Minnesota
NPI 1073860854

Michael C Johnson is a Oral and Maxillofacial Surgery (Dentist) based in Excelsior, MN and is specialized in Oral and Maxillofacial Surgery. Michael C Johnson practices in Excelsior, MN and has the professional credentials of DMD. The NPI Number for Michael C Johnson is 1073860854 and holds a License No. DE60642383 (Minnesota).

The current practice location address for Michael C Johnson is 540 Lake St # 1000, Excelsior, MN and can be reached out via phone at 801-471-8311.

Location: 540 Lake St # 1000, Excelsior, MN, 55331-1903
person
Provider Profile Details
NPI Number
1073860854
Provider Name
Michael C Johnson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
540 Lake St # 1000, Excelsior, MN, 55331-1903
Phone Number
801-471-8311
Fax Number
Provider Enumeration Date
08/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
540 Lake St # 1000
City
State
Zip
55331-1903
Phone Number
801-471-8311
Fax Number
person
Provider Business Mailing Address Details
Address
540 Lake St # 1000
City
State
Zip
55331-1903
Phone Number
801-471-8311
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
DE60642383 (Washington)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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