Individual
DR. BENJAMIN LEE JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2913 LONE OAK RD, PADUCAH, KY 42003
(270) 554-2432
(270) 554-0713
Mailing address
2913 LONE OAK RD, PADUCAH, KY 42003-8030
(270) 554-2432
(270) 554-0713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8881
KY
Other
Enumeration date
10/13/2010
Last updated
10/30/2019
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