Keith D Johnson DDS PC

Dentist · Liberty, MO

Organization Active NPI

NPI number 1164599452

Practice location

26 S Village Drive
Liberty, MO 64068
Phone
(816) 781-7571
Fax
(816) 781-7933

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NPI record

NPI
1164599452
Entity type
Organization (Type 2)
Enumeration date
November 29, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 14182 MO

Authorized official

Name
Dr. Keith David Johnson, DDS
Title
General Dentist Owner
Phone
(816) 781-7571

About Keith D Johnson DDS PC

Keith D Johnson DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 26 S Village Drive, Liberty, MO 64068. The NPI number 1164599452 was assigned on November 29, 2006 and the record was last updated on August 22, 2020.

Keith D Johnson DDS PC lists a license in the registry: #14182 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Keith David Johnson, DDS, General Dentist Owner.

Frequently asked questions

What is the NPI number of Keith D Johnson DDS PC?

The NPI number is 1164599452.

What is the phone number of Keith D Johnson DDS PC?

The phone number listed for the practice location is (816) 781-7571.

Where is Keith D Johnson DDS PC located?

26 S Village Drive, Liberty, MO 64068.

What is the taxonomy code for Keith D Johnson DDS PC?

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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