Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brock Allen Johnsen, DDS

Individual provider Dentist · NPI 1114068616

Brock Allen Johnsen, DDS is a Dentist in Shelby, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4140 W Shelby Rd
Shelby, MI 49455-9660
Phone: (231) 861-4858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 15042 (MI)

Record details

NPI number1114068616
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 8, 2007