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

JEREMY JOHNSON

Active

JEREMY JOHNSON is a Orthodontics healthcare provider located in WILLMAR, Minnesota. NPI 1548484652 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · WILLMAR, MN

Registration Details

NPI Number
1548484652
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2007 (19.366861273981 yrs)
Last Updated
Apr 14, 2022
License
D11637 (MN)

Practice Information

Address
1100 19TH AVE SW
SUITE 1
WILLMAR, MN, 562015288
Browse MN providers · Browse ZIP 56201
Phone
3203253102
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in WILLMAR, MN

Name Credential NPI
STEVEN J NEDRELOW DDS MSD PA 1821156779
MR. THOMAS A MOLIN DDS 1811057409
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.