Johnson, Kris David

Johnson, Kris David is an sole proprietor health care provider with primary practice located at 11800 Aberdeen St. Ne Suite 140, Blaine MN 55449. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Johnson, Kris David can be contacted via phone (763) 772-0330.

Contact Information

Primary practice address
11800 Aberdeen St. Ne Suite 140 Blaine MN 55449
Fax: (763) 772-0354
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D10585 Minnesota

Profile Details

NPI number 1881894137
LBN Legal business name Johnson, Kris David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2007
Last updated Jul 24th, 2007 - about 17 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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