Individual
DAVID DELOSS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1905 PLAZA DR, EAGAN, MN 55122-2883
(651) 686-6800
Mailing address
1905 PLAZA DR, EAGAN, MN 55122-2883
(651) 686-6800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15441
MN
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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