Keith D Johnson DDS PC

NPI #1164599452 in Liberty, Missouri

Provider Information

NPI Number: 1164599452
Entity Type: Organization
Organization Name: Keith D Johnson DDS PC
Primary Specialty: Dentist
Enumeration Date: Nov 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 26 S VILLAGE DRIVE
City: Liberty
State: Missouri
ZIP Code: 64068
Phone: (816) 781-7571

Authorized Official

Name: DR. KEITH DAVID JOHNSON, DDS
Title: GENERAL DENTIST OWNER
Phone: (816) 781-7571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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