| Dr Kirby Charles Johnson, DDS | |
|
3905 Silver Lake Rd, St Anthony, MN 55421 | |
| (612) 788-9246 | |
| (612) 788-5511 |
| Full Name | Dr Kirby Charles Johnson |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3905 Silver Lake Rd, St Anthony, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023045341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10472DDS (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kirby Charles Johnson, DDS 320 Calamus Circle, Medina, MN 55340 Ph: (612) 788-9246 | Dr Kirby Charles Johnson, DDS 3905 Silver Lake Rd, St Anthony, MN 55421 Ph: (612) 788-9246 |
Dr. Rick Lynn Diehl, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3905 Silver Lake Rd, St Anthony, MN 55421 Phone: 612-788-9246 Fax: 612-788-5511 | |
Dr. Joseph B Osterbauer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2525 33rd Ave Ne, St Anthony, MN 55418 Phone: 612-781-9270 | |
Dr. Daniel Edger Sampson, MD DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3905 Silver Lake Rd, St Anthony, MN 55421 Phone: 612-788-9246 Fax: 612-788-5511 |