RYAN JOHNSON, DMD
Dentist - Periodontics
Active
Individual
NPI: 1659991370
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 12103826-9923 (UT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | TD-00-131 (NM) |
| Dentist - Periodontics | 1223P0300X | Yes | 10576 (KY) |
Frequently Asked Questions
NPI 1659991370 is the National Provider Identifier for RYAN JOHNSON, DMD, a Dentist - Periodontics provider located in Crestwood, KY. This NPI was enumerated on April 22, 2020.
RYAN JOHNSON, DMD practices at 6704 SUMAC RIDGE DR, Crestwood, KY 40014.
Quick Facts
- NPI
- 1659991370
- Type
- Individual
- Enumerated
- Apr 22, 2020
- Last Updated
- Jul 9, 2021
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