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

Dr. Shannon Polly Johnson, DMD

Individual provider Dentist · NPI 1598975971

Dr. Shannon Polly Johnson, DMD is a Dentist in Louisville, Kentucky. Licensed in Florida, Indiana and Kentucky. Registered with an NPI since 2007.

Licensed in
FL, IN, KY
In the registry since
2007
Specialties on file
3
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

9513 Whipps Mill Rd
Louisville, KY 40242-3640
Phone: (502) 805-0500
Fax: (502) 771-6041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7939 (KY)
Dentist Taxonomy 122300000X · Licence 12013325A (IN)
Dentist Taxonomy 122300000X · Licence DN 17245 (FL)

Record details

NPI number1598975971
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 25, 2026
Certification dateJuly 25, 2026

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