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

Dr. Michael C Johnson, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1073860854

Dr. Michael C Johnson, DMD is an Oral and Maxillofacial Surgery (Dentist) in Excelsior, Minnesota. Licensed in Minnesota and Washington. Registered with an NPI since 2012.

Licensed in
MN, WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

540 Lake St # 1000
Excelsior, MN 55331-1903
Phone: (801) 471-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D14501 (MN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DE60642383 (WA)

Record details

NPI number1073860854
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 10, 2012
Last updated in NPPESMarch 11, 2021
Certification dateFebruary 19, 2021
Mailing address540 Lake St # 1000, Excelsior, MN 55331-1903

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