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

DR. SHANNON POLLY JOHNSON, DMD

Active

DR. SHANNON POLLY JOHNSON, DMD is a Dentist healthcare provider located in LOUISVILLE, Kentucky. NPI 1598975971 is currently active in the NPPES registry. Verify at CMS.

Dentist · LOUISVILLE, KY

Registration Details

NPI Number
1598975971
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2007 (19.258191078028 yrs)
Last Updated
Feb 8, 2022
Licenses
DN 17245 (FL)
7939 (KY)

Practice Information

Address
9510 ORMSBY STATION RD STE 203
LOUISVILLE, KY, 402234083
Browse KY providers · Browse ZIP 40223
Phone
0280505005
Fax
5027716041
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in LOUISVILLE, KY

Name Credential NPI
DR. VANITA D FARROW DMD 1609872258
STEPHANIE A POYNTER DMD 1245236892
BRYAN HALL BURDETTE DMD, MS 1942207238
DR. DAVID HOWARD BRAUNSTEIN DMD 1437142114
DR. JONATHAN W HIEMER D.M.D. 1487647863
SU TONG KANG DDS 1871581157
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.