Individual provider · Type 1 NPI

Sally A. Johnson, DDS

General Practice Dentistry · Coon Rapids, MN

NPI number 1609979103 Active

Practice location

11475 Robinson Dr NW
Coon Rapids, MN 55433

Call (763) 754-0041 Map

Fax (763) 754-4506

Mailing address

PO Box 1309, Mail Code 21113A
Minneapolis, MN 55440-1309

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X10193 (MN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1609979103

Sally A. Johnson, DDS's National Provider Identifier is 1609979103, issued on Sep 7, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Coon Rapids, MN. The record was last updated on Jul 8, 2007.