NPI 1164633061

Roger C Johnson, DDS

Practitioner Dentist Devils Lake, ND

Practice location

Address: 503 3rd St NE, Devils Lake, ND 58301-3015
Phone: (701) 662-4961
Mailing address: 503 3rd Street, Devils Lake, ND 58301-3015

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence ND1574 (ND)

Other Dentist providers in North Dakota →

Registry record

NPI: 1164633061
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 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.