William R. Johnson, Dmd

LBN: William R. Johnson, Dmd
William R. Johnson, Dmd is an health care organization with primary practice located at 4007 Valley View Dr , Louisville KY 40216-4221. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. William R. Johnson, Dmd can be contacted via phone (502) 448-0678, or through Johnson, Elaine A via phone (502) 448-0678.

Contact Information

Primary practice address
4007 Valley View Dr Louisville KY 40216-4221
Phone: (502) 448-0678
Fax: (502) 448-6292
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Elaine A
Phone: (502) 448-0678

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9805 Kentucky
Dental Providers / Pediatric Dentistry 1223P0221X 5700 Kentucky

Profile Details

NPI number 1831694314
LBN Legal business name William R. Johnson, Dmd
DBA Doing business as
Authorized official Johnson, Elaine A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2018
Last updated Mar 27th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831694314 NPPES
Kentucky MEDICAID 7100484350
Kentucky MEDICAID 60057007

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