Kenneth Dale Johnson, D.D.S.

General Practice Dentistry · Perryton, TX

Individual Active NPI

NPI number 1679654586

Practice location

3102 Garrett Dr
Perryton, TX 79070-5324
Phone
(806) 435-6564
Fax
(806) 435-6565

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NPI record

NPI
1679654586
Entity type
Individual (Type 1)
Enumeration date
October 18, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8968 TX

About Dr. Johnson

Kenneth Dale Johnson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3102 Garrett Dr, Perryton, TX 79070-5324. The NPI number 1679654586 was assigned on October 18, 2006 and the record was last updated on July 8, 2007.

Dr. Johnson lists a license in the registry: #8968 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

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

The NPI number is 1679654586.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (806) 435-6564.

Where is Dr. Johnson located?

3102 Garrett Dr, Perryton, TX 79070-5324.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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