Search › Wisconsin › 1223G0001X
Paul Johnson, DDS
NPI 1770742876 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2901 Pioneer Ave
Rice Lake, WI 54868 - Phone
- (715) 234-1073
- Fax
- (715) 736-4242
- Organisation at this address
- Black Bear Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
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
- 2008-06-03
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