Brent Johnson, DDS

NPI 1194828269 · on the registry since 2006

Practice

Address: 1507 Tower Ave
Suite 202
Superior, WI 54880
Phone: (715) 394-3683
Fax: (715) 394-7315
Organisation at this address: Minh Ngoc Ngo
Nbo Dental, Llc
Twin Ports Dental
Amana Mobility Llc
Alexa Connolly Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin