Johnson, Daniel Theodore

Johnson, Daniel Theodore is an individual health care provider with primary practice located at 5995 Oren Ave North Suite 101, Stillwater MN 55082-5302. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, Daniel Theodore can be contacted via phone (651) 439-7071.

Contact Information

Primary practice address
5995 Oren Ave North Suite 101 Stillwater MN 55082-5302
Fax: (651) 439-0500
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D10105 Minnesota

Profile Details

NPI number 1922160332
LBN Legal business name Johnson, Daniel Theodore
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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