Mr Timothy Mark Johnson, DDS is a
Dentist based in St Francis, Minnesota. Mr Timothy Mark Johnson is licensed to practice in Minnesota (license number 8574) and his current practice location is
3715 Bridge St, St Francis, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(763) 753-1900.
NPI number for Mr Timothy Mark Johnson is 1073671350 and his current mailing address is Po Box 156, St Francis, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073671350.
Healthcare Provider's Profile
| Full Name | Mr Timothy Mark Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 3715 Bridge St, St Francis, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073671350
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Timothy Mark Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073671350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 8574 (Minnesota) | 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. Mr Timothy Mark 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 |
|---|
Mr Timothy Mark Johnson, DDS
Po Box 156,
St Francis, MN 55070
Ph: (763) 753-1900 | Mr Timothy Mark Johnson, DDS
3715 Bridge St,
St Francis, MN 55070
Ph: (763) 753-1900 |
Reviews and Comments