Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinton M Johnson DDS, Lawrence J. Shine Jr DDS PC

Organization General Practice Dentistry · NPI 1790851889

Clinton M Johnson DDS, Lawrence J. Shine Jr DDS PC is a General Practice Dentistry in Kansas City, Missouri. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1734 E 63rd St Ste 520
Kansas City, MO 64110
Phone: (816) 523-9787
Fax: (816) 444-1175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1790851889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clinton Johnson — Doctor · (816) 523-7788
NPI enumeratedNovember 28, 2006
Last updated in NPPESJanuary 9, 2014
Mailing address1734 E 63rd St, Suite 520, Kansas City, MO 64110

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