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

Dr. Kelley Purvis Johnson, DMD

Individual provider Dentist · NPI 1699853887

Dr. Kelley Purvis Johnson, DMD is a Dentist in Immokalee, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1454 Madison Ave W
Immokalee, FL 34142-2200
Phone: (239) 658-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN15182 (FL)

Record details

NPI number1699853887
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 8, 2007

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