Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY JUSTIN JOHNSON
Active Sole ProprietorGREGORY JUSTIN JOHNSON is a Dentist healthcare provider located in RICHARDTON, North Dakota. NPI 1881677094 is currently active in the NPPES registry. Verify at CMS.
Dentist · RICHARDTON, ND
Registration Details
- NPI Number
- 1881677094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2005 (20.705834485853 yrs)
- Last Updated
- May 4, 2017
- License
-
1720 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 3RD AVE WRICHARDTON, ND, 586520333Browse ND providers · Browse ZIP 58652
- Phone
- 7019742118
- Fax
- 7019742175
- Primary Specialty
-
Dentist
122300000X
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.