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Individual

DR. JORDAN LLOYD JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
2232 BARDSTOWN RD STE A, LOUISVILLE, KY 40205-1986
(270) 438-3060
Mailing address
199 W MAIN ST, SCOTTSVILLE, KY 42164-1120
(701) 339-0067

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9302
KY

Other

Enumeration date
05/20/2013
Last updated
09/15/2020
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