Brent T. Johnson, DDS

General Practice Dentistry · Superior, WI

Individual Active NPI

NPI number 1194828269

Practice location

1507 Tower Ave
Suite 202
Superior, WI 54880
Phone
(715) 394-3683
Fax
(715) 394-7315

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NPI record

NPI
1194828269
Entity type
Individual (Type 1)
Enumeration date
September 6, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4772 WI

Mailing address

3915 N 21st St
Superior, WI 54880
Phone
(715) 395-9954

About Dr. Johnson

Brent T. Johnson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1507 Tower Ave, Suite 202, Superior, WI 54880. The NPI number 1194828269 was assigned on September 6, 2006 and the record was last updated on July 8, 2007.

Dr. Johnson lists a license in the registry: #4772 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brent T. Johnson, DDS?

The NPI number is 1194828269.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (715) 394-3683.

Where is Dr. Johnson located?

1507 Tower Ave, Suite 202, Superior, WI 54880.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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