Individual
DR. CHRISTOPHER G JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1209 W FOND DU LAC ST, RIPON, WI 54971-9289
(920) 748-7200
Mailing address
1209 W FOND DU LAC ST, PO BOX 419, RIPON, WI 54971-9289
(920) 748-7200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001654
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33397200
—
WI
Enumeration date
05/05/2006
Last updated
07/28/2021
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