Johnson, William R
Johnson, William R is an individual health care provider with primary practice located at 4007 Valley View Drive , Louisville KY 40216. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Johnson, William R can be contacted via phone (502) 448-0678.Contact Information
Primary practice address
4007 Valley View Drive
Louisville KY 40216
Phone: (502) 448-0678
Fax: (502) 448-6292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5700 | Kentucky |
Profile Details
| NPI number | 1912043282 |
|---|---|
| LBN Legal business name | Johnson, William R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jun 16th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912043282 | NPPES |
| Kentucky | MEDICAID | 60057007 |
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