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

Ryan Darren Johnson, DMD

Individual provider Dentist · NPI 1659991370

Ryan Darren Johnson, DMD is a Dentist in Crestwood, Kentucky. Works from 2 locations. Licensed in Kentucky, New Mexico and Utah.

Licensed in
KY, NM, UT
In the registry since
2020
Specialties on file
4
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

6704 Sumac Ridge Dr
Crestwood, KY 40014-9324
Phone: (505) 925-4031
Fax: (505) 925-4030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Msc 06-3500 1 University Of New Mexico, Albuquerque, NM 87131-0001 — (505) 925-4031

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 10576 (KY)
Dentist Taxonomy 122300000X · Licence 12103826-9923 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TD-00-131 (NM)

Record details

NPI number1659991370
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021
Mailing address6704 Sumac Ridge Dr, Crestwood, KY 40014-9324

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