Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kirby Charles Johnson, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1023045341

Dr. Kirby Charles Johnson, DDS is an Oral and Maxillofacial Surgery (Dentist) in St Anthony, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

3905 Silver Lake Rd
St Anthony, MN 55421
Phone: (612) 788-9246
Fax: (612) 788-5511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 10472DDS (MN)

Record details

NPI number1023045341
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address320 Calamus Circle, Medina, MN 55340

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