Individual
STEVEN D JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1701 CURVE CREST BLVD W, SUITE 108, STILLWATER, MN 55082-6044
(651) 439-8030
(651) 351-0821
Mailing address
1701 CURVE CREST BLVD W, SUITE 108, STILLWATER, MN 55082-6044
(651) 439-8030
(651) 351-0821
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5001983
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DO8300
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33364500
—
WI
Enumeration date
01/25/2006
Last updated
07/09/2007
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