Johnson, Samantha Jo

Johnson, Samantha Jo is an individual health care provider with primary practice located at 1938 Lyda Ave , Bowling Green KY 42104-3326. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Johnson, Samantha Jo can be contacted via phone (270) 843-5600.

Contact Information

Primary practice address
1938 Lyda Ave Bowling Green KY 42104-3326
Phone: (270) 843-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9200 Kentucky
Dental Providers / Endodontics 1223E0200X 9200 Kentucky

Profile Details

NPI number 1083971956
LBN Legal business name Johnson, Samantha Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2012
Last updated Sep 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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