Search › Kentucky › 1223P0300X
Ryan Johnson, DMD
NPI 1659991370 · on the registry since 2020
Practice
- Address
- 6704 Sumac Ridge Dr
Crestwood, KY 40014 - Phone
- (505) 925-4031
- Fax
- (505) 925-4030
Additional practice sites
- Msc 06-3500 1 University Of New Mexico, Albuquerque, NM
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Also registered as
- 122300000X
390200000X
390200000X - Licence states on file
- UT, NM, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky