| Johnson Family Dentistry, Pc | |
|
503 3rd St Ne Devils Lake ND 58301-3015 | |
| (701) 662-4961 | |
| (701) 662-4962 |
| Full Name | Johnson Family Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 503 3rd St Ne, Devils Lake, North Dakota |
| Authorized Official Name and Position | Kirsten A. Andrews (OWNER) |
| Authorized Official Contact | 7016624961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Family Dentistry, Pc 503 3rd St Ne Devils Lake ND 58301-3015 Ph: (701) 662-4961 | Johnson Family Dentistry, Pc 503 3rd St Ne Devils Lake ND 58301-3015 Ph: (701) 662-4961 |
| NPI Number | 1780851014 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780851014 | NPI | - | NPPES |
| 40104 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2001 (North Dakota) | Primary |
Kenner Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 5th Ave Se, Devils Lake, ND 58301 Phone: 701-662-4141 | |
Drs. Herman & Mack Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 5th Ave Se, Devils Lake, ND 58301 Phone: 701-662-8191 Fax: 701-662-5757 | |
Drs. Herman And Mack P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 7th St Ne, Devils Lake, ND 58301 Phone: 701-662-8191 Fax: 701-662-5757 | |
Robert Remmick, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 4th St Nw, Devils Lake, ND 58301 Phone: 701-662-8980 Fax: 701-662-8504 |