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M. ANDREW JOHNSON D.D.S. LC
NPI 1255766820
Dentist - General Practice in Logan, UT

Active since September 13, 2013
1153 N MAIN ST, SUITE B-150, LOGAN, UT 84341(435) 752-2153 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About M. Andrew Johnson D.d.s. Lc NPPES

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

M. ANDREW JOHNSON D.D.S. LC (NPI 1255766820) is a healthcare organization registered as a general practice in Logan, Utah and active in the NPI registry since September 2013. The organization lists M Andrew Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1255766820
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameM. ANDREW JOHNSON D.D.S. LC
Location Address1153 N MAIN ST, SUITE B-150Logan, UT 84341-2495
Mailing Address41 East 400 North, #338Logan, UT 84321 · (435) 752-2153
Phone(435) 752-2153
Organization SubpartNo
Authorized OfficialM Andrew JohnsonManager · (435) 753-2153
Enumeration DateSeptember 13, 2013
✔ NPI 1255766820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 141633 9921
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.
1153 N MAIN ST, Logan, UT 84341
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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 3

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

JENCO MEDICAL, INC.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1153 N MAIN ST, SUITE B140
LOGAN, UT 84341
Cache County (435) 750-6579
STANDARD OPTICAL CO
Optometrist
1153 N MAIN ST, SUITE A120
LOGAN, UT 84341
Cache County (435) 752-2092
JENCO PROSTHETICS & ORTHOTICS, LLC
Prosthetic/Orthotic Supplier
1153 N MAIN ST, SUITE B-140
LOGAN, UT 84341
Cache County (435) 750-6579

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 M. Andrew Johnson D.D.S. Lc's NPI number?

The NPI number for M. Andrew Johnson D.D.S. Lc is 1255766820. It was assigned to this organization in the NPPES registry on September 13, 2013.

Where is M. Andrew Johnson D.D.S. Lc located?

M. Andrew Johnson D.D.S. Lc is located at 1153 N Main St Suite B-150, Logan, UT 84341. The listed phone number is (435) 752-2153.

What is M. Andrew Johnson D.D.S. Lc'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 M. Andrew Johnson D.D.S. Lc was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.