Dr Keith A Johnson, DDS is a
Dentist - General Practice based in Lake Mills, Iowa. Dr Keith A Johnson is licensed to practice in Iowa (license number 6195) and his current practice location is
206 E Main St, Lake Mills, Iowa. He can be reached at his office (for appointments etc.) via phone at
(641) 592-2200.
NPI number for Dr Keith A Johnson is 1689762635 and his current mailing address is 206 E Main St, Lake Mills, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689762635.
Healthcare Provider's Profile
| Full Name | Dr Keith A Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 206 E Main St, Lake Mills, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689762635
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Keith A Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689762635 | NPI | - | NPPES |
| 0135715 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 6195 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keith A Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Keith A Johnson, DDS
206 E Main St,
Lake Mills, IA 50450-1410
Ph: (641) 592-2200 | Dr Keith A Johnson, DDS
206 E Main St,
Lake Mills, IA 50450-1410
Ph: (641) 592-2200 |
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