IndividualActive
Kristy Johnson, D.D.S.
NPI 1679909212 · Periodontics · Rochester, MN
Provider details
- NPI number
- 1679909212
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- S110 (MN)
Mailing address
2647 Superior Dr Nw
Rochester, MN 55901-8525
Registry dates
- Enumerated
- 2013-09-14
- Last updated
- 2021-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.