Orvis J. R. Johnson DDS, SC

Organization Health Maintenance Organization · NPI 1063512267

Orvis J. R. Johnson DDS, SC is a Health Maintenance Organization in North Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in: WI
In the registry since: 2006

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Practice location Address checks out

825 Prospect Ave
North Fond Du Lac, WI 54937-1365
Phone: (920) 923-0310
Fax: (920) 923-5335

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary)	Taxonomy 302R00000X · Licence 5000785-015 (WI)

Record details

NPI number	1063512267
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Orvis Johnson — Dentist · (920) 923-0310
NPI enumerated	September 25, 2006
Last updated in NPPES	August 22, 2020
Mailing address	825 Prospect Ave, North Fond Du Lac, WI 54937-1365