Individual
DR. KEVIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-3195
Mailing address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-3195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025485
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364263
—
OH
Enumeration date
06/02/2018
Last updated
02/28/2020
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