| Keith D Johnson DDS PC | |
|
26 S Village Drive Liberty MO 64068 | |
| (816) 781-7571 | |
| (816) 781-7933 |
| Full Name | Keith D Johnson DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 26 S Village Drive, Liberty, Missouri |
| Authorized Official Name and Position | Keith David Johnson (GENERAL DENTIST OWNER) |
| Authorized Official Contact | 8167817571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith D Johnson DDS PC 26 S Village Drive Liberty MO 64068 Ph: (816) 781-7571 | Keith D Johnson DDS PC 26 S Village Drive Liberty MO 64068 Ph: (816) 781-7571 |
| NPI Number | 1164599452 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164599452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14182 (Missouri) | Primary |
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