OrganizationActive
Orvis J. R. Johnson Dds,sc
NPI 1063512267 · Health Maintenance Organization · North Fond Du Lac, WI
Provider details
- NPI number
- 1063512267
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Orvis Johnson, Dentist(920) 923-0310
- License
- 5000785-015 (WI)
Specialties & taxonomies
Managed Care Organizations
Practice location
825 Prospect Ave
North Fond Du Lac, WI 54937-1365
Phone: (920) 923-0310
Fax: (920) 923-5335
Approximate (ZIP-level) locationGet directions
Mailing address
825 Prospect Ave
North Fond Du Lac, WI 54937-1365
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.