# JOHNSON FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255752614
- **Authorized official:** DR. MATTHEW JOHNSON DMD (PARTNER)
- **Authorized official phone:** (270) 685-5242

## Contact information

- **Practice address:** 722 HARVARD DR, OWENSBORO, KY 42301-6152
- **Practice address phone:** (270) 685-5242
- **Practice address fax:** (270) 685-5247
- **Mailing address:** 722 HARVARD DR, OWENSBORO, KY 42301-6152
- **Mailing address phone:** (270) 685-5242
- **Mailing address fax:** (270) 685-5247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2014
- **Last updated:** 01/02/2014