Dr Wesley Johnson, | |
10110 South 7650 East, Crow Agency, MT 59022 | |
(406) 638-3470 | |
Not Available |
Full Name | Dr Wesley Johnson |
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Gender | Male |
Speciality | Dentist |
Location | 10110 South 7650 East, Crow Agency, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467867895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | D13407 (Minnesota) | Primary |
Entity Name | Us Health Dept Of Health & Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
Mailing Address | Practice Location Address |
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Dr Wesley Johnson, 12897 Valley Rd, Lisbon, ND 58054-9707 Ph: () - | Dr Wesley Johnson, 10110 South 7650 East, Crow Agency, MT 59022 Ph: (406) 638-3470 |
Ms. Sydney Tomlinson, Dentist Medicare: Medicare Enrolled Practice Location: 10110 S 7650 E, Crow Agency, MT 59022 Phone: 406-638-3500 | |
Dr. Richard B Troyer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1010 South 7950 East, Crow Northern Cheyenne Indian Hospital, Crow Agency, MT 59022 Phone: 406-638-3500 Fax: 406-638-3569 | |
Dr. James D Vesbach, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Crow Norther Cheyenne Hospital, 1 Hospital Road, Dental Clinic, Crow Agency, MT 59022 Phone: 406-638-3470 |