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WILLIAM R. JOHNSON DMD NPI 1831694314


NPI Information

NPI: 1831694314
Provider Name: WILLIAM R. JOHNSON, DMD
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
4007 VALLEY VIEW DR
LOUISVILLE, KY
ZIP 40216
Phone: (502) 448-0678
Get Directions

WILLIAM R. JOHNSON, DMD is a pediatric dentistry dentist in Louisville, KY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. WILLIAM R. JOHNSON, DMD NPI is 1831694314. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4007 VALLEY VIEW DR
LOUISVILLE, KY
ZIP 40216-221
Phone: (502) 448-0678
Fax: (502) 448-6292

The provider's authorized official is Elaine A Johnson .
The authorized official title is Office Manager/spouse and has the following contact phone number (502) 448-0678.

The enumeration date for this NPI number is 3/27/2018 and was last updated on 3/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice9805KENTUCKYNo
21223P0221XDentistPediatric Dentistry5700KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
160057007MEDICAIDKENTUCKY
27100484350MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.