Karl Gustave Johnson, DDS

Individual provider Active NPI Dentist · Osseo, MN

NPI 1336199850 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1336199850
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
D11709 (MN)
Practice address
40 Central Av
Osseo, MN 55369
Phone
(763) 425-3023
Fax
(763) 425-8450
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Dental Partners, PLLC Past
since Mar 27, 2022
Accepting new patients
Metro Dentalcare, PLC Dentist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11709 MN Yes

Addresses

Primary practice location

40 Central Av
Osseo, MN 55369

Mailing address

PO Box 23029
Richfield, MN 55423
Phone (612) 861-9123

Other providers in Osseo, MN

All providers in Osseo, MN · Dentist in Minnesota

Sources for this page

Verify at the official NPI Registry.