Brock Allen Johnsen, D.D.S.
Dentist · Shelby, MI
Practice location
4140 W Shelby RdShelby, MI 49455-9660
- Phone
- (231) 861-4858
NPI record
- NPI
- 1114068616
- Entity type
- Individual (Type 1)
- Enumeration date
- February 9, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
15042 | MI |
Mailing address
4140 Shelby RdShelby, MI 49455
- Phone
- (231) 861-4858
About Dr. Johnsen
Brock Allen Johnsen, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4140 W Shelby Rd, Shelby, MI 49455-9660. The NPI number 1114068616 was assigned on February 9, 2007 and the record was last updated on July 8, 2007.
Dr. Johnsen lists a license in the registry: #15042 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Brock Allen Johnsen, D.D.S.?
The NPI number is 1114068616.
What is the phone number of Dr. Johnsen?
The phone number listed for the practice location is (231) 861-4858.
Where is Dr. Johnsen located?
4140 W Shelby Rd, Shelby, MI 49455-9660.
What is the taxonomy code for Dr. Johnsen?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.