Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Johnson

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1548484652

Jeremy Johnson is an Orthodontics and Dentofacial Orthopedics Dentistry in Willmar, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

1100 19th Ave SW Ste 1
Willmar, MN 56201-5288
Phone: (320) 325-3102
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence D11637 (MN)

Record details

NPI number1548484652
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing address1100 19th Ave Sw, Suite 1, Willmar, MN 56201-5288

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