Samantha Jo Johnson
Dentist Endodontist
1938 Lyda Ave
Bowling Green
, Kentucky 42104-3326
Samantha Jo Johnson
Dentist Endodontist
1938 Lyda Ave
Bowling Green
, Kentucky 42104-3326
(270) 843-5600
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About
Features
Specialties
- Dentist
- Endodontist
Languages spoken
- English
Location
First Address
- Samantha Jo Johnson
- 1938 Lyda Ave
- Bowling Green, KY
- Zip : 42104-3326
- Phone : (270) 843-5600
Second Address
- Samantha Jo Johnson
- 1938 Lyda Ave
- Bowling Green, KY
- Zip : 42104-3326
- Phone : (270) 843-5600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 9200 | KY |
| Y | 1223E0200X | Endodontist | 9200 | KY |
National Provider Identifier
| NPI | 1083971956 |
|---|---|
| Provider Name | Samantha Jo Johnson |
| First Address | Bowling Green, KY 42104-3326 |
| Second Address | Bowling Green, KY 42104-3326 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2012 |
| Last Update Date | 22/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.