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FRIENDLY DENTAL
NPI 1770672958
Clinic/Center - Dental in Worthington, MN

Active since October 12, 2006
1316 MCMILLAN ST, WORTHINGTON, MN 56187(507) 376-5525(507) 376-3796 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Friendly Dental NPPES

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

FRIENDLY DENTAL (NPI 1770672958) is a healthcare organization registered as a dental in Worthington, Minnesota and active in the NPI registry since October 2006. The organization lists Jerry Lee Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1770672958
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFRIENDLY DENTAL
Location Address1316 MCMILLAN STWorthington, MN 56187-1646
Mailing Address1316 Mcmillan StWorthington, MN 56187-1646 · (507) 376-5525 · Fax (507) 376-3796
Phone(507) 376-5525
Fax(507) 376-3796
Organization SubpartNo
Authorized OfficialJerry Lee JohnsonPresident · (507) 376-5525
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1770672958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MN · 10185
1316 MCMILLAN ST, Worthington, MN 56187
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Other Identifiers 7

Other820-6852United Concordia
Other46483JOBlue Cross Blue Shield
Other675-2375MN · Tax Id
Other10185FM · Delta
Other687623400MN · Minnesota Medicaid - Ofc.
Other0964114IA · Delta
Other10185FM · Dental License

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.

DR. JERRY LEE JOHNSON D.D.S
Dentist (General Practice)
1316 MCMILLAN ST
WORTHINGTON, MN 56187
Nobles County (507) 376-5525
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
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 Friendly Dental's NPI number?

The NPI number for Friendly Dental is 1770672958. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Friendly Dental located?

Friendly Dental is located at 1316 Mcmillan St, Worthington, MN 56187. The listed phone number is (507) 376-5525.

What is Friendly Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Friendly Dental was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.