Dr Robert Alexander Johnson, DMD | |
927 Trettel Ln, Cloquet, MN 55720 | |
(218) 879-1227 | |
(218) 878-2168 |
Full Name | Dr Robert Alexander Johnson |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 927 Trettel Ln, Cloquet, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093200826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D14071 (Minnesota) | Primary |
Entity Name | Lake Superior Dental Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871672584 PECOS PAC ID: 0345649554 Enrollment ID: O20210520000645 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Alexander Johnson, DMD 1225 E 1st St, Duluth, MN 55805-2402 Ph: (218) 728-6445 | Dr Robert Alexander Johnson, DMD 927 Trettel Ln, Cloquet, MN 55720 Ph: (218) 879-1227 |
Richard A Olson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 Stanley Avenue, Tomhave Olson Dental Assoc, Cloquet, MN 55720 Phone: 218-879-4541 Fax: 218-879-4542 | |
Steven M Tomhave, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1211 Stanley Avenue, Tomhave Olson Dental Assoc, Cloquet, MN 55720 Phone: 218-879-4541 Fax: 218-879-4542 | |
Dr. Sophia Stangl, DDS Dentist Medicare: Medicare Enrolled Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-878-2163 | |
Dr. Kraig David Gunelson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1419 Cloquet Ave, Cloquet, MN 55720 Phone: 218-879-3341 Fax: 218-879-3342 | |
Mr. John L Connolly, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1600 Washington Ave, Cloquet, MN 55720 Phone: 218-879-6703 Fax: 218-499-8033 | |
Dr. Kim M Danielson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 716 14th St, Cloquet, MN 55720 Phone: 218-879-5271 |