Basic Information
| Provider Information | |||||||||
| NPI: | 1851651699 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JOHNSON | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3930 NORTHWOODS DR | ||||||||
| Address2: | |||||||||
| City: | ARDEN HILLS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551126963 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6515238585 | ||||||||
| FaxNumber: | 6515238584 | ||||||||
| Practice Location | |||||||||
| Address1: | 3930 NORTHWOODS DR | ||||||||
| Address2: | |||||||||
| City: | ARDEN HILLS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551126963 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6515238585 | ||||||||
| FaxNumber: | 6515238584 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2012 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | D13084 | MN | Y | Dental Providers | Dentist | General Practice |
No ID Information.