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DR. JERRY LEE JOHNSON D.D.S
NPI 1316975568
Dentist - General Practice in Worthington, MN

Active since June 28, 2006
1316 MCMILLAN ST, WORTHINGTON, MN 56187(507) 376-5525(507) 376-3796 Get Directions Write a Review

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

About Dr. Jerry Lee Johnson D.d.s NPPES

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

DR. JERRY LEE JOHNSON D.D.S (NPI 1316975568) is an individual general practice provider in Worthington, Minnesota, licensed in Minnesota (10185) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1316975568
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY LEE JOHNSONCredential: D.D.S
Location Address1316 MCMILLAN STWorthington, MN 56187-1646
Mailing Address29847 260th StWorthington, MN 56187-6365 · (507) 376-9253
Phone(507) 376-5525
Fax(507) 376-3796
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316975568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MN · 10185✔ Licensed in IA · 7092
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.
1316 MCMILLAN ST, Worthington, MN 56187
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Other Identifiers 6

Other0964114IA · Delta
Other46482JOMN · Bcbs
Other820-685United Concordia
Medicaid687623400MN
Other10185MN · Delta
Other176K2JOIA · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 6

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

MRS. ANGELA MARIE JOHNSON RDH
Dental Hygienist
1316 MCMILLAN ST
WORTHINGTON, MN 56187
Nobles County (507) 376-5525
MRS. ALYSSA NORDELL
Dental Hygienist
1316 MCMILLAN ST
WORTHINGTON, MN 56187
Nobles County (507) 376-5525
DR. VALERIE MARIE VADNAIS DMD
Dentist (General Practice)
1316 MCMILLAN ST
WORTHINGTON, MN 56187
Nobles County (507) 376-5525
FRIENDLY DENTAL
Clinic/Center (Dental)
1316 MCMILLAN ST
WORTHINGTON, MN 56187
Nobles County (507) 376-5525
SAVANNAH LAINE BOWEN
Dentist
1316 MCMILLAN ST
WORTHINGTON, MN 56187
Nobles County (507) 376-5525
DR. KELLY JO PHILLIPS DDS
Dentist (General Practice)
1316 MCMILLAN ST
WORTHINGTON, MN 56187
Nobles County (507) 376-5525

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 Jerry Johnson's NPI number?

The NPI number for Jerry Johnson is 1316975568. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Jerry Johnson located?

Jerry Johnson practices at 1316 Mcmillan St, Worthington, MN 56187. The listed phone number is (507) 376-5525.

What is Jerry Johnson's specialty?

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

What insurance does Jerry Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jerry Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Johnson 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.