Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760544357 Individual Practitioner Male Practitioner

Dr. Cavour Damon Johnson , DDS

Dentist - General Practice • Coleraine, MN

Professional Overview & Biography Verified Profile Summary

Dr. Cavour Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Coleraine, MN. Practice services are available at 303 POWELL AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

303 Powell Avenue

Coleraine, MN 55722

Telephone 2182452451
Associated Practice Facility / Clinic
🏢 Cedar Ridge Dental Centre Facility NPI 1518144591

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Coleraine, MN

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

Practicing in Coleraine, 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 D7759

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.

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 303 POWELL AVENUE, COLERAINE, MN 55722 (Tel: 2182452451)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX J, COLERAINE, MN 55722 (Tel: 2182452451)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CAVOUR JOHNSON, DDS

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

Dentist (License #D7759 in MN)

🟢
Initial NPI Registration & Enumeration December 14, 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: 1760544357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box J

Coleraine, MN 55722

Phone: 2182452451

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.