DR. Jerry Lee Johnson, D.D.S
NPI #1316975568 in Worthington, Minnesota
Provider Information
- NPI Number
- 1316975568
- Entity Type
- Individual
- Name
- DR. Jerry Lee Johnson, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Jun 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1316 MCMILLAN ST
- City
- Worthington
- State
- Minnesota
- ZIP Code
- 56187-1646
- Phone
- (507) 376-5525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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