Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL C JOHNSON, D.M.D.
ActiveDR. MICHAEL C JOHNSON, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in EXCELSIOR, Minnesota. NPI 1073860854 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · EXCELSIOR, MN
Registration Details
- NPI Number
- 1073860854
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2012 (14.050489562186 yrs)
- Last Updated
- Mar 11, 2021
- Licenses
-
DE60642383 (WA)D14501 (MN)
Practice Information
- Address
-
540 LAKE ST # 1000EXCELSIOR, MN, 553311903Browse MN providers · Browse ZIP 55331
- Phone
- 8014718311
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.