Lisa Mari Johnson, DDS

General Practice Dentistry · Grand Rapids, MN

Individual Active NPI

NPI number 1730242215

Practice location

1015 NW 4TH St
Grand Rapids, MN 55744
Phone
(218) 326-0339
Fax
(218) 326-6210

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NPI record

NPI
1730242215
Entity type
Individual (Type 1)
Enumeration date
December 18, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 11285 MN

About Dr. Johnson

Lisa Mari Johnson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1015 NW 4TH St, Grand Rapids, MN 55744. The NPI number 1730242215 was assigned on December 18, 2006 and the record was last updated on July 8, 2007.

Dr. Johnson lists a license in the registry: #11285 (MN) 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 Lisa Mari Johnson, DDS?

The NPI number is 1730242215.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (218) 326-0339.

Where is Dr. Johnson located?

1015 NW 4TH St, Grand Rapids, MN 55744.

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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