JOHNSON PERIODONTICS PROF. LLC NPI 1265949150

NPI Information

  • NPI: 1265949150
  • Provider Name: JOHNSON PERIODONTICS, PROF. LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 3805 S KIWANIS CIR
    SIOUX FALLS, SD
    ZIP 57105
  • Phone: (605) 335-8830

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NPI Details

JOHNSON PERIODONTICS, PROF. LLC is a periodontics dentist in Sioux Falls, SD. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. JOHNSON PERIODONTICS, PROF. LLC NPI is 1265949150. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3805 S KIWANIS CIR
SIOUX FALLS, SD
ZIP 57105-266
Phone: (605) 335-8830

The provider's authorized official is Paul Johnson .
The authorized official title is Manager and has the following contact phone number (605) 335-8830.

The enumeration date for this NPI number is 1/2/2018 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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