Dr Kris David Johnson, DDS - Dentist in Blaine, MN

Dr Kris David Johnson, DDS is a Dentist - Endodontics based in Blaine, Minnesota. Dr Kris David Johnson is licensed to practice in Minnesota (license number D10585) and his current practice location is 11800 Aberdeen St. Ne, Suite 140, Blaine, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 772-0330.

NPI number for Dr Kris David Johnson is 1881894137 and his current mailing address is 11800 Aberdeen St. Ne, Suite 140, Blaine, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881894137.

Contact Information

Dr Kris David Johnson, DDS
11800 Aberdeen St. Ne, Suite 140,
Blaine, MN 55449
(763) 772-0330
(763) 772-0354

Map and Direction




Healthcare Provider's Profile

Full NameDr Kris David Johnson
GenderMale
SpecialityDentist - Endodontics
Location11800 Aberdeen St. Ne, Blaine, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1881894137
  • Provider Enumeration Date: 07/24/2007
  • Last Update Date: 07/24/2007

Medical Identifiers

Medical identifiers for Dr Kris David Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881894137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics D10585 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kris David Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kris David Johnson, DDS
11800 Aberdeen St. Ne, Suite 140,
Blaine, MN 55449

Ph: (763) 772-0330
Dr Kris David Johnson, DDS
11800 Aberdeen St. Ne, Suite 140,
Blaine, MN 55449

Ph: (763) 772-0330

Reviews and Comments


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