Search › Wisconsin › 1223G0001X
Samantha Johnson, DDS
NPI 1205324688 · on the registry since 2018
Practice
- Address
- 1624 Hobbs Dr Ste 2
Delavan, WI 53115 - Phone
- (262) 740-1010
- Organisation at this address
- Delevan Family Dentistry
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 1801 W Wisconsin Ave, Milwaukee, WI
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
390200000X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-08
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