Mimi V. Johnson, D.D.S.

General Practice Dentistry · Bellwood, IL

Individual Active NPI

NPI number 1265656912

Practice location

235 Mannheim Rd
Bellwood, IL 60104-1339
Phone
(708) 544-5656

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NPI record

NPI
1265656912
Entity type
Individual (Type 1)
Enumeration date
April 12, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

Mailing address

235 Mannheim Rd
PO Box 239
Bellwood, IL 60104-1339
Phone
(708) 544-5656

About Dr. Johnson

Mimi V. Johnson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 235 Mannheim Rd, Bellwood, IL 60104-1339. The NPI number 1265656912 was assigned on April 12, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Mimi V. Johnson, D.D.S.?

The NPI number is 1265656912.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (708) 544-5656.

Where is Dr. Johnson located?

235 Mannheim Rd, Bellwood, IL 60104-1339.

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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