OrganizationActive
Johnson Family Dentistry
NPI 1073124103 · General Practice Dentistry · Portage, MI
Johnson Family Dentistry is a General Practice Dentistry organization in Portage, MI (NPI 1073124103).
Provider details
- NPI number
- 1073124103
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stacia Grzibowski, Office Manager(269) 381-7250
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1617 E Milham Ave
Portage, MI 49002-3049
Phone: (269) 381-7250
Fax: (269) 381-7260
Street-level locationGet directions
Mailing address
1617 E Milham Ave
Portage, MI 49002-3049
Other names (DBA / former)
- Doing business as
- Johnson Family Dentistry
Registry dates
- Enumerated
- 2020-08-12
- Last updated
- 2020-08-12
- Certified
- 2020-08-12
Frequently asked questions
- What is Johnson Family Dentistry's NPI number?
- Johnson Family Dentistry's National Provider Identifier (NPI) is 1073124103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Johnson Family Dentistry?
- Johnson Family Dentistry is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Johnson Family Dentistry located?
- Johnson Family Dentistry's practice location on file with NPPES is 1617 E Milham Ave, Portage, MI 49002-3049.
- What is Johnson Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Johnson Family Dentistry is (269) 381-7250.
- Who is the authorized official for Johnson Family Dentistry?
- The authorized official listed on Johnson Family Dentistry's NPPES record is Stacia Grzibowski, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Johnson Family Dentistry's NPI active?
- Yes — Johnson Family Dentistry's NPI (1073124103) is active in the NPPES registry as of the last update on 2020-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.