Individual provider · Type 1 NPI

Kenton M. Johnson, DDS MS

Dentist · Roseville, MN

NPI number 1477510055 Active

Practice location

2690 Sivelling Ave N, Ste 250
Roseville, MN 55113

Fax (651) 633-0995

Mailing address

PO Box 23029
Richfield, MN 55423

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD10828 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1477510055

Kenton M. Johnson, DDS MS's National Provider Identifier is 1477510055, issued on Apr 27, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Roseville, MN. The record was last updated on Jul 13, 2026.