Individual
DR. SCOTT R JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2971 CHAPEL VALLEY RD, FITCHBURG, WI 53711-7420
(608) 661-6400
Mailing address
6425 KEELSON DR, MADISON, WI 53705-4370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3394-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33469300
—
WI
Enumeration date
06/02/2006
Last updated
07/09/2007
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