Organization
ASCENT FAMILY DENTISTRY
Active
Parent organization
DR. TODD JOHNSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. TODD JOHNSON
Authorized official
BECKY BUESGENS (OFFICE MANAGER)
(763) 572-8040
Entity
Organization
Contact information
Practice address
5207 UNIVERSITY AVE NE, COLUMBIA HEIGHTS, MN 55421-1649
(763) 572-8040
(763) 502-2310
Mailing address
5207 UNIVERSITY AVE NE, COLUMBIA HEIGHTS, MN 55421-1649
(763) 572-8040
(763) 502-2310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9081
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498018200
—
MN
Enumeration date
01/03/2012
Last updated
01/03/2012
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