Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255426722 Individual Practitioner Male Practitioner

Dr. Owen W. Johnson , DDS

Dentist - General Practice • Pine River, MN

Professional Overview & Biography Verified Profile Summary

Dr. Owen Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pine River, MN. Practice services are available at 203 PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

203 Park Ave

Pine River, MN 56474

Telephone 2185874437
Fax 2185874479
Associated Practice Facility / Clinic
🏢 Pine River Dental Arts, P.c. Facility NPI 1962851071

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pine River, MN

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

Practicing in Pine River, 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 8358

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

4 Associated Practitioners
NPI 1629694963

Doctor of Dental Surgery

NPI 1831763770

Doctor of Dental Surgery

NPI 1871932798

Doctor of Dental Surgery

Dr. Steven Carlson , DDS

Dentist - General Practice

NPI 1932515269

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 203 PARK AVE, PINE RIVER, MN 56474 (Tel: 2185874437)

📍
Updated Business Mailing Address July 08, 2007

Registered at P.O. BOX 71, PINE RIVER, MN 56474 (Tel: 2185874437)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as OWEN JOHNSON, DDS

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

Dentist (License #8358 in MN)

🟢
Initial NPI Registration & Enumeration October 03, 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: 1255426722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

P.o. Box 71

Pine River, MN 56474

Phone: 2185874437

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.