Mr Kenton M Johnson, DDS MS in Roseville, MN

Mr Kenton M Johnson, DDS MS is a medicare enrolled "Dentist" provider in Roseville, Minnesota. His current practice location is 2690 Sivelling Ave N, Ste 250, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 633-1834.

Mr Kenton M Johnson is licensed to practice in Minnesota (license number D10828) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477510055.

Contact Information

	Mr Kenton M Johnson, DDS MS
	2690 Sivelling Ave N, Ste 250, Roseville, MN 55113
	(651) 633-1834
	(651) 633-0995

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kenton M Johnson
Gender	Male
Speciality	Dentist
Location	2690 Sivelling Ave N, Roseville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477510055
Provider Enumeration Date: 04/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3375842818
Enrollment ID: I20160504001218

Medical Identifiers

Medical identifiers for Mr Kenton M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477510055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D10828 (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. Mr Kenton M Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kenton M Johnson, DDS MS Po Box 23029, Richfield, MN 55423 Ph: (612) 861-9123	Mr Kenton M Johnson, DDS MS 2690 Sivelling Ave N, Ste 250, Roseville, MN 55113 Ph: (651) 633-1834

Reviews and Comments

Dentist in Roseville, MN

Stephanie Mazhari Huang, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 708 County Road B W, Roseville, MN 55113 Phone: 651-489-0161 Fax: 651-489-9938
Dr. Kirk Roland Baumgardner, DDS, PHD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, Roseville, MN 55113 Phone: 651-746-0587 Fax: 651-636-1118
Dr. Douglas Kenneth Keim,, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N, Suite 210, Roseville, MN 55113 Phone: 651-631-2944 Fax: 651-639-1439
Michael Warren Geiser, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N, Suite 111, Roseville, MN 55113 Phone: 651-633-5087 Fax: 651-633-5148
Dr. Teodora Nikolaeva Baylon, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2233 Hamline Ave N, Roseville, MN 55113 Phone: 651-636-0655
Craig Anthony Sulzdorf, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1912 Lexington Ave N Ste 200, Roseville, MN 55113 Phone: 651-631-3610
Dr. Pamela Jean Holm, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, #220, Roseville, MN 55113 Phone: 651-636-2123 Fax: 651-636-2614

Mr Kenton M Johnson, DDS MS - Medicare Dentist in Roseville, MN