Johnson, Ryan Darren

Johnson, Ryan Darren is an individual health care provider with primary practice located at 6704 Sumac Ridge Dr , Crestwood KY 40014-9324. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Johnson, Ryan Darren can be contacted via phone (505) 925-4031.

Contact Information

Primary practice address
6704 Sumac Ridge Dr Crestwood KY 40014-9324
Phone: (505) 925-4031
Fax: (505) 925-4030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12103826-9923 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New Mexico
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TD-00-131 New Mexico
Dental Providers / Periodontics 1223P0300X 10576 Kentucky

Profile Details

NPI number 1659991370
LBN Legal business name Johnson, Ryan Darren
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2020
Last updated Jul 9th, 2021 - about 5 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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