Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH A. JOHNSON, DDS
Active Sole ProprietorDR. KEITH A. JOHNSON, DDS is a General Dentistry healthcare provider located in LAKE MILLS, Iowa. NPI 1689762635 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LAKE MILLS, IA
Registration Details
- NPI Number
- 1689762635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2006 (19.811141581396 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6195 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
206 E MAIN STLAKE MILLS, IA, 504501410Browse IA providers · Browse ZIP 50450
- Phone
- 6415922200
- Fax
- 6415922202
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LAKE MILLS, IA
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT MARLIN BOSACKER | D.D.S | 1154491496 |
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.