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JOHNSON FAMILY DENTISTRY
NPI 1073124103
Dentist - General Practice in Portage, MI

Active since August 12, 2020
1617 E MILHAM AVE, PORTAGE, MI 49002(269) 381-7250(269) 381-7260 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnson Family Dentistry NPPES

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

JOHNSON FAMILY DENTISTRY (NPI 1073124103) is a healthcare organization registered as a general practice in Portage, Michigan and active in the NPI registry since August 2020. The organization lists Stacia Grzibowski, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073124103
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHNSON FAMILY DENTISTRY
Location Address1617 E MILHAM AVEPortage, MI 49002-3049
Mailing Address1617 E Milham AvePortage, MI 49002-3049 · (269) 381-7250
Phone(269) 381-7250
Fax(269) 381-7260
Organization SubpartNo
Authorized OfficialStacia GrzibowskiOffice Manager · (269) 381-7250
Enumeration DateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
✔ NPI 1073124103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1617 E MILHAM AVE, Portage, MI 49002
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Other Names 1

Doing Business AsJohnson Family Dentistry

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA MAIKOSKI
Behavior Technician
1617 E MILHAM AVE, SUITE B
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
RIHAB MUSA
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
BRIANNA HUFFMAN
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
FRANCESCA ZANCHETTA
Behavior Technician
1617 E MILHAM AVE, SUITE B
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
SARAH RADKE
Behavior Technician
1617 E MILHAM AVE, SUITE B
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
KAYLIE MORRISSEY
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
JULIE EVERTS
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
ANN WARSOP
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931

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 Johnson Family Dentistry's NPI number?

The NPI number for Johnson Family Dentistry is 1073124103. It was assigned to this organization in the NPPES registry on August 12, 2020.

Where is Johnson Family Dentistry located?

Johnson Family Dentistry is located at 1617 E Milham Ave, Portage, MI 49002. The listed phone number is (269) 381-7250.

What is Johnson Family Dentistry'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 Johnson Family Dentistry was last updated on August 12, 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.