Johnson, Michael D

Johnson, Michael D is an individual health care provider with primary practice located at 1930 9Th Ave , Helena MT 59601-4759. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Johnson, Michael D can be contacted via phone (406) 457-8928.

Contact Information

Primary practice address
1930 9Th Ave Helena MT 59601-4759
Phone: (406) 457-8928
Fax: (406) 457-8992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 1351 Montana

Profile Details

NPI number 1679593974
LBN Legal business name Johnson, Michael D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679593974 NPPES
Montana Other 40964 BLUE CROSS BLUE SHIELD
Montana Other 9988329 BLUE CROSS BLUE SHIELD
Montana Other 5511571 BLUE CROSS BLUE SHIELD
Montana MEDICAID 730106 BLUE CROSS BLUE SHIELD

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