Organization
DJR2 PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Other names
Danville Pediatric Dentistry Downtown
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY TODD JOHNSON DMD, MPH (MANAGER)
(859) 327-4711
Entity
Organization
Contact information
Practice address
303 S 4TH ST STE 201, DANVILLE, KY 40422-2091
(859) 236-8448
Mailing address
2505 LARKIN RD STE 201, LEXINGTON, KY 40503-3256
(859) 396-3347
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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