| Keith A. Johnson, Dds, Pc | |
|
206 E. Main St. Lake Mills IA 50450 | |
| (641) 592-2200 | |
| (641) 592-2202 |
| Full Name | Keith A. Johnson, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 206 E. Main St., Lake Mills, Iowa |
| Authorized Official Name and Position | Keith Alan Johnson (DENTIST) |
| Authorized Official Contact | 6415922200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith A. Johnson, Dds, Pc 206 E. Main St. Lake Mills IA 50450 Ph: (641) 592-2200 | Keith A. Johnson, Dds, Pc 206 E. Main St. Lake Mills IA 50450 Ph: (641) 592-2200 |
| NPI Number | 1265711659 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 08/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265711659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | #6195 (Iowa) | Primary |
Lake Mills Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 E Main St, Lake Mills, IA 50450 Phone: 641-592-2200 |