Individual
DR. NANCIE J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18305 MINNETONKA BLVD STE 100, DEEPHAVEN, MN 55391
(952) 936-2206
(952) 936-0901
Mailing address
18305 MINNETONKA BLVD STE 100, DEEPHAVEN, MN 55391
(952) 936-2206
(952) 936-0901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9836
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4015051
MEDICA INSURANCE CO
—
01
—
46554JO
BCBS INSURANCE CO
—
01
—
9836
DENTAL LICENSE
MN
Enumeration date
06/20/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us