DR. BRYAN D. JOHNSON D.D.S.
NPI 1891859112
Dentist in Mankato, MN

Q: What is Bryan Johnson's NPI number?

The NPI number for Bryan Johnson is 1891859112. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Q: What is Bryan Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bryan Johnson was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 21, 2006

1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Bryan D. Johnson D.d.s. NPPES

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

DR. BRYAN D. JOHNSON D.D.S. (NPI 1891859112) is an individual dentist in Mankato, Minnesota, licensed in Minnesota (9815) and active in the NPI registry since December 2006. He maintains a secondary practice location in Madison Lake.

NPPES Registry Identity

NPI1891859112

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRYAN D. JOHNSONCredential: D.D.S.

Location Address1025 MARSH STMankato, MN 56001-4752

Mailing AddressPo Box 458, 516 Main St.Madison Lake, MN 56063-0458 · (507) 243-3747 · Fax (507) 243-3866

Phone(507) 625-4031

Sole ProprietorNo

Enumeration DateDecember 21, 2006

Last NPPES UpdateJanuary 31, 2024

NPPES CertifiedJanuary 31, 2024

✔ NPI 1891859112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · 9815

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.

1025 MARSH ST, Mankato, MN 56001

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Secondary Practice Location 1

Location 1516 Main St.Madison Lake, MN 56063 · Phone (507) 243-3747 · Fax (507) 243-3866

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

KRISTIN MARIE CLIFFORD CNP

Nurse Practitioner