| Dr Jerry Lee Johnson, DDS | |
|
1316 Mcmillan St, Worthington, MN 56187-1646 | |
| (507) 376-5525 | |
| (507) 376-3796 |
| Full Name | Dr Jerry Lee Johnson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1316 Mcmillan St, Worthington, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316975568 | NPI | - | NPPES |
| 820-685 | Other | UNITED CONCORDIA | |
| 687623400 | Medicaid | MN | |
| 0964114 | Other | IA | DELTA |
| 10185 | Other | MN | DELTA |
| 176K2JO | Other | IA | BCBS |
| 46482JO | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10185 (Minnesota) | Primary |
| 1223G0001X | Dentist - General Practice | 7092 (Iowa) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Lee Johnson, DDS 29847 260th St, Worthington, MN 56187-6365 Ph: (507) 376-9253 | Dr Jerry Lee Johnson, DDS 1316 Mcmillan St, Worthington, MN 56187-1646 Ph: (507) 376-5525 |
Dr. Bruce William Anderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2725 Fox Farm Rd, Worthington, MN 56187 Phone: 507-372-2869 |
Dr. Edward Thomas Mcniece, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1027 Second Ave, Worthington, MN 56187 Phone: 507-372-7339 Fax: 507-372-7339 |
Dr. Paul Michael Carlson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 507 South Shore Drive, Worthington, MN 56187 Phone: 507-372-2072 |
Grant R Sorensen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1029 3rd Ave, Worthington, MN 56187 Phone: 507-376-9797 |
Stanley George Haas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 324 1/2 10th St, Worthington, MN 56187 Phone: 507-376-4939 |
Dr. Valerie Marie Vadnais, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1316 Mcmillan St, Worthington, MN 56187 Phone: 507-376-5525 |
Dr. John Patrick Finucane, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1027 2nd Ave, Worthington, MN 56187 Phone: 507-372-7339 |