# JOHNSON FAMILY DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780851014
- **Authorized official:** DR. KIRSTEN A. ANDREWS DDS (OWNER)
- **Authorized official phone:** (701) 662-4961

## Contact information

- **Practice address:** 503 3RD ST NE, DEVILS LAKE, ND 58301-3015
- **Practice address phone:** (701) 662-4961
- **Practice address fax:** (701) 662-4962
- **Mailing address:** 503 3RD ST NE, DEVILS LAKE, ND 58301-3015
- **Mailing address phone:** (701) 662-4961
- **Mailing address fax:** (701) 662-4962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2001 | ND | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 08/11/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40104 | — | ND |