Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659432664 Individual Practitioner Male Practitioner

Dr. Michael Wayne Johnson , DDS

Dentist - General Practice • Brooklyn Park, MN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Brooklyn Park, MN. Practice services are available at 8559 EDINBROOK PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8559 Edinbrook Pkwy

Brooklyn Park, MN 554433747

Telephone 7634253644
Fax 7634250953
Associated Practice Facility / Clinic
🏢 Pdg,p.a. Facility NPI 1730247321

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brooklyn Park, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Brooklyn Park, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D12074

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1033566344

Doctor of Dental Surgery

Dr. Monica Alley , DDS

Dentist - General Practice

NPI 1376602466

Doctor of Dental Surgery

Dr. Clarice Hermunslie , DDS

Dentist - General Practice

NPI 1851450837

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8559 EDINBROOK PKWY, BROOKLYN PARK, MN 554433747 (Tel: 7634253644)

📍
Updated Business Mailing Address July 08, 2007

Registered at 13440 UPLANDER ST NW, ANDOVER, MN 553043959 (Tel: 6128627751)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D12074 in MN)

🟢
Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659432664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

13440 Uplander St Nw

Andover, MN 553043959

Phone: 6128627751

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.