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Individual

DR. MICHAEL D JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1930 9TH AVE, HELENA, MT 59601-4759
(406) 457-8928
(406) 457-8992
Mailing address
1930 9TH AVE, HELENA, MT 59601-4759
(406) 457-8928
(406) 457-8992

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1351
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40964
BLUE CROSS BLUE SHIELD
MT
01
5511571
CHIPS
MT
05
730106
MT
01
9988329
CHAMPUS
MT
Enumeration date
07/20/2006
Last updated
07/08/2007
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