Dr Brent T Johnson, DDS in Superior, WI - Dentist

Dr Brent T Johnson, DDS is a Dentist - General Practice based in Superior, Wisconsin. Dr Brent T Johnson is licensed to practice in Wisconsin (license number 4772) and his current practice location is 1507 Tower Ave, Suite 202, Superior, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (715) 394-3683.

NPI number for Dr Brent T Johnson is 1194828269 and his current mailing address is 3915 N 21st St, Superior, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194828269.

Contact Information

	Dr Brent T Johnson, DDS
	1507 Tower Ave, Suite 202, Superior, WI 54880
	(715) 394-3683
	(715) 394-7315

Healthcare Provider's Profile

Full Name	Dr Brent T Johnson
Gender	Male
Speciality	Dentist - General Practice
Location	1507 Tower Ave, Superior, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1194828269
Provider Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Brent T Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194828269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	4772 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brent T Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Brent T Johnson, DDS 3915 N 21st St, Superior, WI 54880 Ph: (715) 395-9954	Dr Brent T Johnson, DDS 1507 Tower Ave, Suite 202, Superior, WI 54880 Ph: (715) 394-3683

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Dentist in Superior, WI

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

Dr Brent T Johnson, DDS - Dentist in Superior, WI