Samantha Jo Johnson
Samantha Jo Johnson is a Dentist in Bowling Green, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.
- Licensed in
- KY
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1938 Lyda AveBowling Green, KY 42104-3326
Phone: (270) 843-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Endodontics (primary) | Taxonomy 1223E0200X · Licence 9200 (KY) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 9200 (KY) |
Record details
| NPI number | 1083971956 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 17, 2012 |
| Last updated in NPPES | September 22, 2016 |
| Mailing address | 1938 Lyda Ave, Bowling Green, KY 42104-3326 |
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