NPI 1043361975
Mark Joseph Johnson, DDS
Practice location
- Address
- 98 W 66th St, Richfield, MN 55423-2511
- Phone
- (612) 866-1005
- Fax
- (612) 866-7805
- Mailing address
- 657 Wesley Ln, Mendota Heights, MN 55118-4347
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1043361975
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.