Jerry Lee Johnson, D.D.S

General Practice Dentistry · Worthington, MN

Individual Active NPI

NPI number 1316975568

Practice location

1316 McMillan St
Worthington, MN 56187-1646
Phone
(507) 376-5525
Fax
(507) 376-3796

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NPI record

NPI
1316975568
Entity type
Individual (Type 1)
Enumeration date
June 28, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10185 MN
General Practice Dentistry 1223G0001X 7092 IA

Mailing address

29847 260TH St
Worthington, MN 56187-6365
Phone
(507) 376-9253

About Dr. Johnson

Jerry Lee 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 1316 McMillan St, Worthington, MN 56187-1646. The NPI number 1316975568 was assigned on June 28, 2006 and the record was last updated on July 8, 2007.

Dr. Johnson lists 2 licenses in the registry: #10185 (MN) for General Practice Dentistry; #7092 (IA) 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 Jerry Lee Johnson, D.D.S?

The NPI number is 1316975568.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (507) 376-5525.

Where is Dr. Johnson located?

1316 McMillan St, Worthington, MN 56187-1646.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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