IndividualActive
Owen Johnson, DDS
NPI 1255426722 · General Practice Dentistry · Pine River, MN
Provider details
- NPI number
- 1255426722
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8358 (MN)
Specialties & taxonomies
Dental Providers
Practice location
203 Park Ave
Pine River, MN 56474
Phone: (218) 587-4437
Fax: (218) 587-4479
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 71
Pine River, MN 56474
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.