DR. TODD A JOHNSON DMD
NPI 1407915291
Dentist - General Practice in Weston, WI

Active since December 07, 2006
5702 MEMORIAL CT, WESTON, WI 54476(715) 496-1128(715) 972-8123 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Todd A Johnson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TODD A JOHNSON DMD (NPI 1407915291) is an individual general practice provider in Weston, Wisconsin, licensed in Wisconsin (1001483) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1407915291
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TODD A JOHNSONCredential: DMD
Location Address5702 MEMORIAL CTWeston, WI 54476-6502
Mailing Address5702 Memorial CtWeston, WI 54476-6502 · (715) 496-1128 · Fax (715) 972-8123
Fax(715) 972-8123
Sole ProprietorNo
Enumeration DateDecember 7, 2006
Last NPPES UpdateApril 14, 2017
NPI 1407915291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in WI · 1001483 Licensed in IL · 019025511
Definition

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.

5702 MEMORIAL CT, Weston, WI 54476

Other Identifiers 1

Medicaid1004971IL

Accepted Insurance

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
5702 MEMORIAL CT
WESTON, WI 54476

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407915291, enumerated as an "individual" on December 07, 2006.

The provider is located at 5702 MEMORIAL CT WESTON, WI 54476 and the phone number is (715) 496-1128.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.