1770672958 FRIENDLY DENTAL
Dental Clinic/Center
Active
Basic Information
- Organization Name
- FRIENDLY DENTAL
- Enumeration Date
- October 12, 2006
- Last Update
- March 7, 2023
- Authorized Official
- DR. JERRY LEE JOHNSON DDS
PRESIDENT
Phone: (507) 376-5525
Practice Location
- Address
- 1316 MCMILLAN ST
WORTHINGTON, MN 561871646 - Phone
- (507) 376-5525
- Fax
- (507) 376-3796
Mailing Address
- Address
- 1316 MCMILLAN ST
WORTHINGTON, MN 561871646 - Phone
- (507) 376-5525
- Fax
- (507) 376-3796
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Dental Clinic/Center Dental | 261QD0000X | Clinic/Center | 10185 | MN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820-6852 | 01 | N/A | UNITED CONCORDIA |
| 46483JO | 01 | N/A | BLUE CROSS BLUE SHIELD |
| 675-2375 | 01 | MN | TAX ID |
| 10185 | 01 | FM | DELTA |
| 687623400 | 01 | MN | MINNESOTA MEDICAID - OFC. |
| 0964114 | 01 | IA | DELTA |
| 10185 | 01 | FM | DENTAL LICENSE |
Frequently Asked Questions
What is FRIENDLY DENTAL's NPI number?
FRIENDLY DENTAL's NPI number is 1770672958.
Which doctor has NPI number 1770672958?
The doctor with NPI number 1770672958 is FRIENDLY DENTAL.
What is FRIENDLY DENTAL's practice address?
FRIENDLY DENTAL's practice address is 1316 MCMILLAN ST, WORTHINGTON, MN, 561871646.
Which doctor practices at 1316 MCMILLAN ST, WORTHINGTON, MN, 561871646?
FRIENDLY DENTAL practices at 1316 MCMILLAN ST, WORTHINGTON, MN, 561871646.
What is FRIENDLY DENTAL's phone number?
FRIENDLY DENTAL's phone number is (507) 376-5525.
Who is (507) 376-5525?
(507) 376-5525 is the phone number for FRIENDLY DENTAL.
What is FRIENDLY DENTAL's specialty?
FRIENDLY DENTAL's specialty is Dental Clinic/Center.
What type of doctor is FRIENDLY DENTAL?
FRIENDLY DENTAL is a Dental Clinic/Center.
Is FRIENDLY DENTAL a Dental?
Yes, FRIENDLY DENTAL is a Dental.
Is FRIENDLY DENTAL still practicing?
Yes, FRIENDLY DENTAL is currently practicing.
Is FRIENDLY DENTAL accepting new patients?
FRIENDLY DENTAL may be accepting new patients. Please call their office at (507) 376-5525 to inquire about availability.
Is NPI 1770672958 still active?
Yes, NPI 1770672958 is currently active.
Where does FRIENDLY DENTAL practice?
FRIENDLY DENTAL practices in WORTHINGTON, MN.