Friendly Dental
Friendly Dental is a healthcare organization registered as Dental Clinic/Center in Worthington, MN, holding Type 2 (organization) NPI 1770672958 since 2006. The authorized official on file is Jerry Johnson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770672958 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Friendly Dental |
| Practice address | 1316 MCMILLAN ST, Worthington, MN, 56187 |
| Phone | 5073765525 |
| Fax | 5073763796 |
| Enumeration date | 2006-10-12 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Jerry Johnson |
|---|---|
| Title | President |
| Phone | 5073765525 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | 10185 | MN |
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 |
Copy-ready billing details
Provider: Friendly Dental NPI: 1770672958 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 1316 MCMILLAN ST, Worthington, MN, 56187
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316975568 | Jerry Johnson | Individual | General Practice Dentistry | Worthington, MN |
| 1922167410 | Kelly Phillips | Individual | General Practice Dentistry | Worthington, MN |
| 1588786164 | Valerie Vadnais | Individual | General Practice Dentistry | Worthington, MN |
| 1487830360 | Angela Johnson | Individual | Dental Hygienist | Worthington, MN |
| 1578749743 | Alyssa Nordell | Individual | Dental Hygienist | Worthington, MN |
| 1902414311 | Savannah Bowen | Individual | Dentist | Worthington, MN |
Verify this record
Cross-check NPI 1770672958 against the authoritative CMS record: view Friendly Dental on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Friendly Dental?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.