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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MIMI V. JOHNSON, D.D.S.

Active Sole Proprietor

DR. MIMI V. JOHNSON, D.D.S. is a General Dentistry healthcare provider located in BELLWOOD, Illinois. NPI 1265656912 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BELLWOOD, IL

Registration Details

NPI Number
1265656912
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2007 (19.158540188917 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
235 MANNHEIM RD
BELLWOOD, IL, 601041339
Browse IL providers · Browse ZIP 60104
Phone
7085445656
Primary Specialty
General Dentistry
1223G0001X
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.