Johnson, Travis Allan
Johnson, Travis Allan is an individual health care provider with primary practice located at 9950 Valley Creek Rd Ste 100 , Woodbury MN 55125-5803. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Johnson, Travis Allan can be contacted via phone (651) 578-7000.Contact Information
Primary practice address
9950 Valley Creek Rd Ste 100
Woodbury MN 55125-5803
Phone: (651) 578-7000
Fax: (651) 578-0157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D13205 | Minnesota |
Profile Details
| NPI number | 1841637295 |
|---|---|
| LBN Legal business name | Johnson, Travis Allan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2013 |
| Last updated | May 19th, 2020 - about 4 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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