Individual
RANDALL CRAIG JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103 W JEFFERSON AVE, BELGRADE, MT 59714-4419
(406) 388-4064
(406) 388-4065
Mailing address
103 W JEFFERSON AVE, BELGRADE, MT 59714-4419
(406) 388-4064
(406) 388-4065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1712
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114400
—
MT
Enumeration date
12/18/2006
Last updated
03/07/2023
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