Organization
KEITH D JOHNSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH DAVID JOHNSON DDS (GENERAL DENTIST OWNER)
(816) 781-7571
Entity
Organization
Contact information
Practice address
26 S VILLAGE DRIVE, LIBERTY, MO 64068
(816) 781-7571
(816) 781-7933
Mailing address
26 S VILLAGE DRIVE, LIBERTY, MO 64068
(816) 781-7571
(816) 781-7933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14182
MO
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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