Johnson Dental Associates, Plls

NPI #1912347808 in Scottsville, Kentucky

Provider Information

NPI Number: 1912347808
Entity Type: Organization
Organization Name: Johnson Dental Associates, Plls
Primary Specialty: Dentist
Enumeration Date: Jun 25, 2013
Last Updated: Jun 25, 2013

Practice Location

Address: 199 W MAIN ST
City: Scottsville
State: Kentucky
ZIP Code: 42164-1120
Phone: (270) 237-3655

Authorized Official

Name: DR. SAMANTHA JO MARCUM, DMD
Title: OWNER
Phone: (270) 237-3655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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