Individual
DR. SHANNON POLLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9513 WHIPPS MILL RD, LOUISVILLE, KY 40242-3640
(502) 805-0500
(502) 771-6041
Mailing address
9513 WHIPPS MILL RD, LOUISVILLE, KY 40242-3640
(502) 805-0500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12013325A
IN
122300000X
Dentist
Primary
7939
KY
122300000X
Dentist
DN 17245
FL
Other
Enumeration date
05/23/2007
Last updated
07/25/2026
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