Individual
DR. MATTHEW L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
722 HARVARD DR, OWENSBORO, KY 42301-6152
(270) 685-5242
(270) 685-5247
Mailing address
722 HARVARD DR, OWENSBORO, KY 42301-6152
(270) 685-5242
(270) 685-5247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8486
KY
1223G0001X
General Practice Dentistry
KY8486
KY
Other
Enumeration date
09/11/2007
Last updated
11/10/2009
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