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Dr. Robert A Johansen, DDS
General Practice Dentistry in Amery, Wisconsin
NPI 1609906908

Robert A Johansen is a General Practice Dentistry based in Amery, WI and is specialized in General Practice. Robert A Johansen practices in Amery, WI and has the professional credentials of DDS. The NPI Number for Robert A Johansen is 1609906908 and holds a License No. 5000 647-015 (Wisconsin).

The current practice location address for Robert A Johansen is 404 Wisconsin Ave, Amery, WI and can be reached out via phone at 715-268-7177 and via fax at 715-268-5716.

Location: 404 Wisconsin Ave, Amery, WI, 54001-1058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609906908
Provider Name
Robert A Johansen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
404 Wisconsin Ave, Amery, WI, 54001-1058
Phone Number
715-268-7177
Fax Number
715-268-5716
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3366 9200 01 WI WI MEDICAL ASSISTANCE
institution
Provider Business Practice Location Address Details
Address
404 Wisconsin Ave
City
Amery
State
Wisconsin
Zip
54001-1058
Phone Number
715-268-7177
Fax Number
715-268-5716
person
Provider Business Mailing Address Details
Address
404 Wisconsin Ave
City
Amery
State
Wisconsin
Zip
54001-1058
Phone Number
715-268-7177
Fax Number
715-268-5716
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5000 647-015 (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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