Ken Johnson, D.D.S.

Dentist · Beloit, WI

Individual Active NPI

NPI number 1124198924

Practice location

918 E Park Avenue PLZ
Beloit, WI 53511-1753
Phone
(608) 365-9456

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NPI record

NPI
1124198924
Entity type
Individual (Type 1)
Enumeration date
November 9, 2006
Last updated
March 16, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 4352 WI

About Dr. Johnson

Ken Johnson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 918 E Park Avenue PLZ, Beloit, WI 53511-1753. The NPI number 1124198924 was assigned on November 9, 2006 and the record was last updated on March 16, 2012.

Dr. Johnson lists a license in the registry: #4352 (WI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ken Johnson, D.D.S.?

The NPI number is 1124198924.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (608) 365-9456.

Where is Dr. Johnson located?

918 E Park Avenue PLZ, Beloit, WI 53511-1753.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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