# PATRICK P. JOHNS, DDS, LLC

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

## Provider details

- **NPI number:** 1881823565
- **Authorized official:** PATRICK PAUL JOHNS D.D.S. (OWNER)
- **Authorized official phone:** (812) 867-6428

## Contact information

- **Practice address:** 1331 W BOONVILLE NEW HARMONY RD, EVANSVILLE, IN 47725-9583
- **Practice address phone:** (812) 867-6428
- **Practice address fax:** (812) 867-7494
- **Mailing address:** 1331 W BOONVILLE NEW HARMONY RD, EVANSVILLE, IN 47725-9583
- **Mailing address phone:** (812) 867-6428
- **Mailing address fax:** (812) 867-7494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007351-A | IN | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 07/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | IN |