Johnson, Todd A

Johnson, Todd A is an individual health care provider with primary practice located at 5207 University Ave Ne , Columbia Heights MN 55421-1649. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Todd A can be contacted via phone (763) 572-8040.

Contact Information

Primary practice address
5207 University Ave Ne Columbia Heights MN 55421-1649
Phone: (763) 572-8040
Fax: (763) 502-2310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9081 Minnesota

Profile Details

NPI number 1871550640
LBN Legal business name Johnson, Todd A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 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 1871550640 NPPES
Minnesota Other 24227JO BLUE CROSS & BLUE SHIELD

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