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

Ken Johnson, DDS

Individual provider Dentist · NPI 1124198924

Ken Johnson, DDS is a Dentist in Beloit, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
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.

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Practice location Address checks out

918 E Park Avenue Plz
Beloit, WI 53511-1753
Phone: (608) 365-9456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4352 (WI)

Record details

NPI number1124198924
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 9, 2006
Last updated in NPPESMarch 16, 2012
Mailing address918 E Park Avenue Plz, Beloit, WI 53511-1753

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