Bryan D. Johnson, DDS, PA
Bryan D. Johnson, DDS, PA provides General Practice Dentistry in Madison Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.
- Licensed in
- MN
- In the registry since
- 2005
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
516 Main StMadison Lake, MN 56063
Phone: (507) 243-3747
Fax: (507) 243-3866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D9815 (MN) |
|---|
Record details
| NPI number | 1043208267 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Johnson — Dentist · (507) 243-3747 |
| NPI enumerated | October 11, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 458, Madison Lake, MN 56063-0458 |
Other providers in Madison Lake
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Bulldog Adventures, PLLC
516 Main St, Madison Lake, MN 56063-2027 · (507) 243-3747