Kris David Johnson, D.D.S.

Endodontics · Blaine, MN

Individual Active NPI

NPI number 1881894137

Practice location

11800 Aberdeen St. NE
Suite 140
Blaine, MN 55449
Phone
(763) 772-0330
Fax
(763) 772-0354

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NPI record

NPI
1881894137
Entity type
Individual (Type 1)
Enumeration date
July 24, 2007
Last updated
July 24, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X D10585 MN

About Dr. Johnson

Kris David Johnson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 11800 Aberdeen St. NE, Suite 140, Blaine, MN 55449. The NPI number 1881894137 was assigned on July 24, 2007 and the record was last updated on July 24, 2007.

Dr. Johnson lists a license in the registry: #D10585 (MN) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kris David Johnson, D.D.S.?

The NPI number is 1881894137.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (763) 772-0330.

Where is Dr. Johnson located?

11800 Aberdeen St. NE, Suite 140, Blaine, MN 55449.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 1223E0200X – Endodontics.

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.

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