Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN DARREN JOHNSON, DMD
ActiveRYAN DARREN JOHNSON, DMD is a Periodontology healthcare provider located in CRESTWOOD, Kentucky. NPI 1659991370 is currently active in the NPPES registry. Verify at CMS.
Periodontology · CRESTWOOD, KY
Registration Details
- NPI Number
- 1659991370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2020 (6.3381061476719 yrs)
- Last Updated
- Jul 9, 2021
- Licenses
-
12103826-9923 (UT)TD-00-131 (NM)10576 (KY)
Practice Information
- Address
-
6704 SUMAC RIDGE DRCRESTWOOD, KY, 400149324Browse KY providers · Browse ZIP 40014
- Phone
- 5059254031
- Fax
- 5059254030
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Periodontology
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.