DR. Michael C Johnson, D.M.D.

NPI #1073860854 in Excelsior, Minnesota

Provider Information

NPI Number: 1073860854
Entity Type: Individual
Name: DR. Michael C Johnson, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: D.M.D.
Enumeration Date: Aug 10, 2012
Last Updated: Mar 11, 2021

Practice Location

Address: 540 LAKE ST # 1000
City: Excelsior
State: Minnesota
ZIP Code: 55331-1903
Phone: (801) 471-8311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
Affiliated Oral and Maxillofacial Surgeons P.a.	Dentist - Oral and Maxillofacial Surgery	Excelsior	AI Deep Dive

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