Bryan D. Johnson, Dds, Pa

LBN: Bryan D. Johnson, Dds, Pa
Bryan D. Johnson, Dds, Pa is an health care organization with primary practice located at 516 Main Street , Madison Lake MN 56063. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bryan D. Johnson, Dds, Pa can be contacted via phone (507) 243-3747, or through Johnson, Bryan D. via phone (507) 243-3747.

Contact Information

Primary practice address
516 Main Street Madison Lake MN 56063
Phone: (507) 243-3747
Fax: (507) 243-3866
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Bryan D. Doctor of Dental Surgery (DDS)
Phone: (507) 243-3747

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D9815 Minnesota

Profile Details

NPI number 1043208267
LBN Legal business name Bryan D. Johnson, Dds, Pa
DBA Doing business as
Authorized official Johnson, Bryan D. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043208267 NPPES
Minnesota Other 41321JO BLUE CROSS BLUE SHIELD

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