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Johnson Family Dental Care Llc
Customized Equipment (DME) in Marshall, Minnesota
NPI 1750651527

Johnson Family Dental Care Llc is a Customized Equipment (DME) based in Marshall, MN and is specialized in Customized Equipment. Johnson Family Dental Care Llc practices in Marshall, MN. The NPI Number for Johnson Family Dental Care Llc is 1750651527 and holds a License No. (Minnesota).

The current practice location address for Johnson Family Dental Care Llc is 401 Jewett St, Marshall, MN and can be reached out via phone at 507-532-3104 and via fax at 507-537-1347.

Location: 401 Jewett St, Marshall, MN, 56258-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750651527
Provider Name
Johnson Family Dental Care Llc
Credential
Provider Entity Type
Organization
Address
401 Jewett St, Marshall, MN, 56258-2605
Phone Number
507-532-3104
Fax Number
507-537-1347
Provider Enumeration Date
01/10/2012
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
810572 01 UNITED CONCORDIA
46120JO 01 BLUE CROSS BLUE SHIELD
128218200 01 MINNESOTA MEDICAL ASSISTANCE
institution
Provider Business Practice Location Address Details
Address
401 Jewett St
City
Marshall
State
Minnesota
Zip
56258-2605
Phone Number
507-532-3104
Fax Number
507-537-1347
person
Provider Business Mailing Address Details
Address
401 Jewett St
City
Marshall
State
Minnesota
Zip
56258-2605
Phone Number
507-532-3104
Fax Number
507-537-1347
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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