BRYAN D. JOHNSON, DDS, PA
NPI 1043208267
Dentist - General Practice in Madison Lake, MN

Q: What is Bryan D. Johnson, Dds, PA's NPI number?

The NPI number for Bryan D. Johnson, Dds, PA is 1043208267. It was assigned to this organization in the NPPES registry on October 11, 2005.

Q: What is Bryan D. Johnson, Dds, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 11, 2005

516 MAIN STREET, MADISON LAKE, MN 56063(507) 243-3747(507) 243-3866 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bryan D. Johnson, Dds, Pa NPPES

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

BRYAN D. JOHNSON, DDS, PA (NPI 1043208267) is a healthcare organization registered as a general practice in Madison Lake, Minnesota and active in the NPI registry since October 2005. The organization lists Bryan D. Johnson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1043208267

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBRYAN D. JOHNSON, DDS, PA

Location Address516 MAIN STREETMadison Lake, MN 56063

Mailing AddressPo Box 458Madison Lake, MN 56063-0458 · (507) 243-3747 · Fax (507) 243-3866

Phone(507) 243-3747

Fax(507) 243-3866

Organization SubpartNo

Authorized OfficialBryan D. JohnsonDentist · (507) 243-3747

Enumeration DateOctober 11, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1043208267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D9815

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.

516 MAIN STREET, Madison Lake, MN 56063

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Other Identifiers 1

Other41321JOMN · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan D. Johnson, Dds, PA's NPI number?

The NPI number for Bryan D. Johnson, Dds, PA is 1043208267. It was assigned to this organization in the NPPES registry on October 11, 2005.

Where is Bryan D. Johnson, Dds, PA located?

Bryan D. Johnson, Dds, PA is located at 516 Main Street, Madison Lake, MN 56063. The listed phone number is (507) 243-3747.

What is Bryan D. Johnson, Dds, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bryan D. Johnson, Dds, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.