Individual
JEFFREY JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
FOND DU LAC HUMAN SERVICES DIVISION, 927 TRETTLE LANE, CLOQUET, MN 55720
(218) 879-1227
(218) 878-2188
Mailing address
2405 CHAMBERSBURG AVE, DULUTH, MN 55811-3203
(218) 269-1189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12266
MN
Other
Enumeration date
07/31/2006
Last updated
03/07/2023
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