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

DR. JERRY LEE JOHNSON, D.D.S

Active

DR. JERRY LEE JOHNSON, D.D.S is a General Dentistry healthcare provider located in WORTHINGTON, Minnesota. NPI 1316975568 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WORTHINGTON, MN

Registration Details

NPI Number
1316975568
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2006 (20.099198628596 yrs)
Last Updated
Jul 8, 2007
Licenses
10185 (MN)
7092 (IA)

Practice Information

Address
1316 MCMILLAN ST
WORTHINGTON, MN, 561871646
Browse MN providers · Browse ZIP 56187
Phone
5073765525
Fax
5073763796
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in WORTHINGTON, MN

Name Credential NPI
DR. KELLY JO PHILLIPS DDS 1922167410
DR. VALERIE MARIE VADNAIS DMD 1588786164
MAUREEN A SORENSEN D.D.S. 1841418589
GRANT R SORENSEN D.D.S. 1396963070
TRACY JOHN GROSSMAN DDS 1750541918
DR. PAUL MICHAEL CARLSON D.D.S. 1316224363
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.