Individual provider · Type 1 NPI
Jeremy Johnson
Orthodontics and Dentofacial Orthopedics Dentistry · Willmar, MN
Practice location
1100 19th Ave SW, Suite 1
Willmar, MN 56201-5288
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D11637 (MN) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1548484652
Jeremy Johnson's National Provider Identifier is 1548484652, issued on Apr 12, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Willmar, MN. The record was last updated on Apr 14, 2022.