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NPI Code Detail

MEDICARE: DR. DONALD K. JOHNSON D.M.D.

MEDICARE:  DR. DONALD K. JOHNSON  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4600KY

General Provider Information

NPI Number : 1144432295
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD K. JOHNSON D.M.D.
Provider Business Mailing Address
First Line : 1675 S MAIN ST
Second Line :
City : LONDON
State : KY
Zip : 40741-2050
Country : US
Telephone Number : 606-864-7816
Fax Number : 606-864-2721
Provider Business Practice Location Address
First Line : 1675 S MAIN ST
Second Line :
City : LONDON
State : KY
Zip : 40741-2050
Country : US
Telephone Number : 606-864-7816
Fax Number : 606-864-2721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DONALD K. JOHNSON D.M.D.” Practice Location

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