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Abby Pershke Johnson, DDS
Pediatric Dentist in Hermantown, Minnesota
NPI 1922290345

Abby Pershke Johnson is a Pediatric Dentist based in Hermantown, MN and is specialized in Pediatric Dentistry. Abby Pershke Johnson practices in Hermantown, MN and has the professional credentials of DDS. The NPI Number for Abby Pershke Johnson is 1922290345 and holds a License No. D12426 (Minnesota).

The current practice location address for Abby Pershke Johnson is 4419 Air Base Rd, Hermantown, MN and can be reached out via phone at 218-728-2117 and via fax at 218-728-2700.

Location: 4419 Air Base Rd, Hermantown, MN, 55811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922290345
Provider Name
Abby Pershke Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
4419 Air Base Rd, Hermantown, MN, 55811
Phone Number
218-728-2117
Fax Number
218-728-2700
Provider Enumeration Date
08/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10033 01 TN LICENSE
D12426 01 MN LICENSE
institution
Provider Business Practice Location Address Details
Address
4419 Air Base Rd
City
Hermantown
State
Minnesota
Zip
55811-1847
Phone Number
218-728-2117
Fax Number
218-728-2700
person
Provider Business Mailing Address Details
Address
4419 Air Base Rd
City
Hermantown
State
Minnesota
Zip
55811-1847
Phone Number
218-728-2117
Fax Number
218-728-2700
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10033 (Tennessee)
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
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D12426 (Minnesota)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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