Individual
DR. AMANDA JO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3475 RICHMOND RD, SUITE 100, LEXINGTON, KY 40509-2500
(859) 543-0505
(859) 543-0881
Mailing address
3475 RICHMOND RD, SUITE 100, LEXINGTON, KY 40509-2500
(859) 543-0505
(859) 543-0881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8765
KY
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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