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Friendly Dental

Dental Clinic/Center in Worthington, MN · enumerated 2006 · authorized official Jerry Johnson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770672958

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Registry record

Entity type Organization (Type 2)
Legal business name Friendly Dental
Practice address 1316 Mcmillan St, Worthington, MN, 56187
Phone (507) 376-5525
Fax (507) 376-3796
Enumeration date Oct 12, 2006
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 10185 (MN) Primary

Authorized official

Name Jerry Johnson
Title President
Phone (507) 376-5525

Other identifiers

Identifier Type State Issuer
820-6852 Other - UNITED CONCORDIA
46483JO Other - BLUE CROSS BLUE SHIELD
675-2375 Other MN TAX ID
10185 Other FM DELTA
687623400 Other MN MINNESOTA MEDICAID - OFC.
0964114 Other IA DELTA
10185 Other FM DENTAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Friendly Dental?
Friendly Dental is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.