Jason Johnson
Dentist in Saint Paul, MN. Individual provider (NPI-1).
NPI number1285605287
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1285605287
- Entity type
- Individual (NPI-1)
- Name
- Jason Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D12015 | MN | Yes |
Practice location
828 Hawthorne St ESaint Paul, MN 55106-3252
Phone 651-774-2959
Mailing address
4936 Birch Lake CirWhite Bear Lake, MN 55110-6749
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All 139 Dentist providers in Saint Paul · All 12,912 providers in Saint Paul
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