Jimmie Lee Johnson Dmd Psc

NPI #1578605978 in Irvine, Kentucky

Provider Information

NPI Number: 1578605978
Entity Type: Organization
Organization Name: Jimmie Lee Johnson Dmd Psc
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 13, 2007
Last Updated: Mar 25, 2008

Practice Location

Address: 87 WILDWOOD PLACE
City: Irvine
State: Kentucky
ZIP Code: 40336-1312
Phone: (606) 723-3213

Authorized Official

Name: DR. JIMMIE LEE JOHNSON, DMD
Title: DENTIST
Phone: (606) 723-3213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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