Craig Michael Johnson

NPI 1811199755 - Dentist - 122300000X

NPI Details
NPI 1811199755
Gender Male
Enumeration Date 06/04/2007
Last Updated 05/04/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
916 ELLISON AVE
LOUISVILLE KY, 40204-1902, US
Phone (502) 649-3350
Fax
Business Location
916 ELLISON AVE
LOUISVILLE KY, 40204-1902, US
Phone (502) 649-3350
Fax
Toxanomy
Taxonomy Code 122300000X
License State Kentucky
License Number 8488
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According to our database, Dr. Craig Michael Johnson NPI is 1811199755, taxonomy code is 122300000X and license number is 8488, license state is located at Kentucky. Craig Michael Johnson physically located at 916 Ellison Ave, Louisville KY, 40204-1902. NPI Number Craig Michael Johnson has the Individual type.

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1811199755 NPI number is provided on an as is basis without warranty of any kind. 1811199755 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Michael Johnson are for informational purposes only.