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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA JO JOHNSON

Active

SAMANTHA JO JOHNSON is a Endodontics healthcare provider located in BOWLING GREEN, Kentucky. NPI 1083971956 is currently active in the NPPES registry. Verify at CMS.

Endodontics · BOWLING GREEN, KY

Registration Details

NPI Number
1083971956
Provider Type
Individual
Gender
Female
NPI Issued
Apr 17, 2012 (14.294476169922 yrs)
Last Updated
Sep 22, 2016
Licenses
9200 (KY)
9200 (KY)

Practice Information

Address
1938 LYDA AVE
BOWLING GREEN, KY, 421043326
Browse KY providers · Browse ZIP 42104
Phone
2708435600
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Endodontics

Other Endodontics Providers in BOWLING GREEN, KY

Name Credential NPI
DR. BEAU JOHN BRASSEALE D.D.S., M.S.D. 1689836439
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.