| Dr Richard Mathias Johnson, DDS | |
|
1507 Tower Ave, Rm 427, Superior, WI 54880 | |
| (715) 394-5792 | |
| Not Available |
| Full Name | Dr Richard Mathias Johnson |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1507 Tower Ave, Superior, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376587279 | NPI | - | NPPES |
| 33674700 | Medicaid | WI | |
| 90951JO | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5000864015 (Wisconsin) | Primary |
| 122300000X | Dentist | D7559 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Mathias Johnson, DDS 1507 Tower Ave, Rm 427, Superior, WI 54880 Ph: (715) 394-5792 | Dr Richard Mathias Johnson, DDS 1507 Tower Ave, Rm 427, Superior, WI 54880 Ph: (715) 394-5792 |
Dr. Jon Gregorie Nelson, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 418 23rd Ave E, Superior, WI 54880 Phone: 715-398-3239 Fax: 715-398-5799 | |
Dr. Kirkland A Fehrman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2222 E 5th St, Superior, WI 54880 Phone: 715-394-5411 Fax: 715-392-5086 | |
Thomas A Linstroth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 Tower Ave, Superior, WI 54880 Phone: 715-394-5411 | |
Dr. Arthur David Zehm, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1507 Tower Ave, Ste 409, Superior, WI 54880 Phone: 715-392-3499 | |
Dr. Kevin M Mikel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3312 Tower Avenue, Superior, WI 54880 Phone: 715-392-1132 Fax: 715-392-2333 | |
Dr. John E Conkright, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 823 Belknap St, Suite 220, Superior, WI 54880 Phone: 715-392-4545 Fax: 715-392-4547 | |
Dr. Mark D Callaway, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6401 Tower Ave, Superior, WI 54880 Phone: 715-392-1529 |