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NISSWA DENTAL
NPI 1801687173
Clinic/Center - Dental in Nisswa, MN

Active since May 15, 2025
25579 CHURCH ST, NISSWA, MN 56468(218) 963-2970 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nisswa Dental NPPES

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

NISSWA DENTAL (NPI 1801687173) is a healthcare organization registered as a dental in Nisswa, Minnesota and active in the NPI registry since May 2025. The organization lists Craig Brian Johnson, Owner / Dentist, as its authorized official.

NPPES Registry Identity

NPI1801687173
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNISSWA DENTAL
Location Address25579 CHURCH STNisswa, MN 56468-2834
Mailing AddressPo Box 157Nisswa, MN 56468-0157 · (218) 963-2970 · Fax (218) 963-9502
Phone(218) 963-2970
Organization SubpartNo
Authorized OfficialCraig Brian JohnsonOwner / Dentist · (218) 963-2970
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1801687173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
25579 CHURCH ST, Nisswa, MN 56468
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Other Providers at the Same Location NPPES

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

CRAIG BRIAN JOHNSON DDS
Dentist
25579 CHURCH ST
NISSWA, MN 56468
Crow Wing County (218) 963-2970

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 Nisswa Dental's NPI number?

The NPI number for Nisswa Dental is 1801687173. It was assigned to this organization in the NPPES registry on May 15, 2025.

Where is Nisswa Dental located?

Nisswa Dental is located at 25579 Church St, Nisswa, MN 56468. The listed phone number is (218) 963-2970.

What is Nisswa 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 Nisswa Dental was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.