Johnson, Jeffrey T

Johnson, Jeffrey T is an individual health care provider with primary practice located at 1080 Ben Ali Drive Suite A, Danville KY 40422-2527. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Johnson, Jeffrey T can be contacted via phone (859) 236-6900.

Contact Information

Primary practice address
1080 Ben Ali Drive Suite A Danville KY 40422-2527
Phone: (859) 236-6900
Fax: (859) 236-6997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7737 Kentucky
Dental Providers / Pediatric Dentistry 1223P0221X 7737 Kentucky

Profile Details

NPI number 1881658946
LBN Legal business name Johnson, Jeffrey T
Credentials DMD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881658946 NPPES
Kentucky MEDICAID 60002102

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