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Dr. Brent T Johnson, DDS
General Practice Dentistry in Superior, Wisconsin
NPI 1194828269

Brent T Johnson is a General Practice Dentistry based in Superior, WI and is specialized in General Practice. Brent T Johnson practices in Superior, WI and has the professional credentials of DDS. The NPI Number for Brent T Johnson is 1194828269 and holds a License No. 4772 (Wisconsin).

The current practice location address for Brent T Johnson is 1507 Tower Ave, Superior, WI and can be reached out via phone at 715-394-3683 and via fax at 715-394-7315.

Location: 1507 Tower Ave, Superior, WI, 54880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194828269
Provider Name
Brent T Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1507 Tower Ave, Superior, WI, 54880
Phone Number
715-394-3683
Fax Number
715-394-7315
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1507 Tower Ave
City
Superior
State
Wisconsin
Zip
54880
Phone Number
715-394-3683
Fax Number
715-394-7315
person
Provider Business Mailing Address Details
Address
1507 Tower Ave
City
Superior
State
Wisconsin
Zip
54880
Phone Number
715-394-3683
Fax Number
715-394-7315
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4772 (Wisconsin)
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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