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Kenneth O Johnson, DDS
General Practice Dentistry in South Holland, Illinois
NPI 1912058280

Kenneth O Johnson is a General Practice Dentistry based in South Holland, IL and is specialized in General Practice. Kenneth O Johnson practices in South Holland, IL and has the professional credentials of DDS. The NPI Number for Kenneth O Johnson is 1912058280 and holds a License No. (Illinois).

The current practice location address for Kenneth O Johnson is 438 E 162Nd St, South Holland, IL and can be reached out via phone at 708-333-0699 and via fax at 708-333-8252.

Location: 438 E 162Nd St, South Holland, IL, 60473-2258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912058280
Provider Name
Kenneth O Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
438 E 162Nd St, South Holland, IL, 60473-2258
Phone Number
708-333-0699
Fax Number
708-333-8252
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
438 E 162Nd St
City
South Holland
State
Illinois
Zip
60473-2258
Phone Number
708-333-0699
Fax Number
708-333-8252
person
Provider Business Mailing Address Details
Address
438 E 162Nd St
City
South Holland
State
Illinois
Zip
60473-2258
Phone Number
708-333-0699
Fax Number
708-333-8252
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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