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Dr. Jerry Lee Johnson, DDS
General Practice Dentistry in Worthington, Minnesota
NPI 1316975568

Jerry Lee Johnson is a General Practice Dentistry based in Worthington, MN and is specialized in General Practice. Jerry Lee Johnson practices in Worthington, MN and has the professional credentials of DDS. The NPI Number for Jerry Lee Johnson is 1316975568 and holds a License No. 10185 (Minnesota).

The current practice location address for Jerry Lee Johnson is 1316 Mcmillan St, Worthington, MN and can be reached out via phone at 507-376-5525 and via fax at 507-376-3796.

Location: 1316 Mcmillan St, Worthington, MN, 56187-6365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316975568
Provider Name
Jerry Lee Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1316 Mcmillan St, Worthington, MN, 56187-6365
Phone Number
507-376-5525
Fax Number
507-376-3796
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10185 01 MN DELTA
176K2JO 01 IA BCBS
820-685 01 UNITED CONCORDIA
0964114 01 IA DELTA
46482JO 01 MN BCBS
687623400 05 MN
institution
Provider Business Practice Location Address Details
Address
1316 Mcmillan St
City
Worthington
State
Minnesota
Zip
56187-1646
Phone Number
507-376-5525
Fax Number
507-376-3796
person
Provider Business Mailing Address Details
Address
1316 Mcmillan St
City
Worthington
State
Minnesota
Zip
56187-1646
Phone Number
507-376-5525
Fax Number
507-376-3796
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10185 (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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