SearchWisconsinGeneral Practice Dentistry

Robert Johansen, D.D.S

NPI 1609906908 · on the registry since 2007

Practice

Address
404 Wisconsin Ave
Amery, WI 54001
Phone
(715) 268-7177
Fax
(715) 268-5716
Organisation at this address
Kristo Ltd
Dental Arts S.C.
Douglas D Podoll Dds Dc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
General Practice Dentistry
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