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BROCK ALLEN JOHNSEN D.D.S.
NPI 1114068616
Dentist in Shelby, MI

Active since February 09, 2007
4140 W SHELBY RD, SHELBY, MI 49455(231) 861-4858 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brock Allen Johnsen D.d.s. NPPES

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

BROCK ALLEN JOHNSEN D.D.S. (NPI 1114068616) is an individual dentist in Shelby, Michigan, licensed in Michigan (15042) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1114068616
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBROCK ALLEN JOHNSENCredential: D.D.S.
Location Address4140 W SHELBY RDShelby, MI 49455-9660
Mailing Address4140 Shelby RdShelby, MI 49455 · (231) 861-4858
Phone(231) 861-4858
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114068616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 15042
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4140 W SHELBY RD, Shelby, MI 49455
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Other Providers at the Same Location NPPES 2

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

DILLON JOE SIBLEY DC
Chiropractor
4140 W SHELBY RD
SHELBY, MI 49455
Oceana County (231) 259-0121
ANDREW S RIEMER DO PC
Ophthalmology
4140 W SHELBY RD
SHELBY, MI 49455
Oceana County (231) 861-4567

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 Brock Johnsen's NPI number?

The NPI number for Brock Johnsen is 1114068616. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Brock Johnsen located?

Brock Johnsen practices at 4140 W Shelby Rd, Shelby, MI 49455. The listed phone number is (231) 861-4858.

What is Brock Johnsen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Brock Johnsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.