| Jeremy Johnson, | |
|
1100 19th Ave Sw, Suite 1, Willmar, MN 56201-5288 | |
| (320) 325-3102 | |
| Not Available |
| Full Name | Jeremy Johnson |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1100 19th Ave Sw, Willmar, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548484652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D11637 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Johnson, 1100 19th Ave Sw, Suite 1, Willmar, MN 56201-5288 Ph: () - | Jeremy Johnson, 1100 19th Ave Sw, Suite 1, Willmar, MN 56201-5288 Ph: (320) 325-3102 |
Dr. Gabriel Ehimen Ukegheson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1709 Ist Street S, Willmar, MN 56201 Phone: 320-262-7176 | |
Dr. Kevin R Hallstrom, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 512 Becker Ave Sw, Willmar, MN 56201 Phone: 320-235-2551 Fax: 320-235-0549 | |
Dr. Nicholas Jay Marcus, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 24th Ave Se, Willmar, MN 56201 Phone: 320-235-9363 | |
Sidra Zahooruddin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1709 1st St S, Willmar, MN 56201 Phone: 320-262-7176 | |
Dr. Peter M Jorgenson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1016 1st St S, Willmar, MN 56201 Phone: 320-235-2010 | |
Dr. Steven Charles Martinka, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 408 Trott Ave Sw, Willmar, MN 56201 Phone: 320-235-2922 Fax: 320-231-1719 | |
Dr. Gary Lee Mattson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 113 Litchfield Ave Se, Willmar, MN 56201 Phone: 320-235-9551 Fax: 320-235-6786 |