Individual provider · Type 1 NPI
Kirby Charles Johnson, DDS
Oral and Maxillofacial Surgery (Dentist) · St. Anthony, MN
Practice location
3905 Silver Lake Rd
St. Anthony, MN 55421
Fax (612) 788-5511
Mailing address
320 Calamus Circle
Medina, MN 55340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 10472DDS (MN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in St. Anthony
About NPI 1023045341
Kirby Charles Johnson, DDS's National Provider Identifier is 1023045341, issued on Jun 26, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Anthony, MN. The record was last updated on Jul 8, 2007.