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Dr. Jimmie Lee Johnson, DMD
General Practice Dentistry in Irvine, Kentucky
NPI 1912275439

Jimmie Lee Johnson is a General Practice Dentistry based in Irvine, KY and is specialized in General Practice. Jimmie Lee Johnson practices in Irvine, KY and has the professional credentials of DMD. The NPI Number for Jimmie Lee Johnson is 1912275439 and holds a License No. 6163 (Kentucky).

The current practice location address for Jimmie Lee Johnson is 87 Wildwood Place, Irvine, KY and can be reached out via phone at 606-723-3213 and via fax at 606-723-3213.

Location: 87 Wildwood Place, Irvine, KY, 40336-0175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912275439
Provider Name
Jimmie Lee Johnson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
87 Wildwood Place, Irvine, KY, 40336-0175
Phone Number
606-723-3213
Fax Number
606-723-3213
Provider Enumeration Date
12/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60061637 05 KY
institution
Provider Business Practice Location Address Details
Address
87 Wildwood Place
City
Irvine
State
Kentucky
Zip
40336-1312
Phone Number
606-723-3213
Fax Number
606-723-3213
person
Provider Business Mailing Address Details
Address
87 Wildwood Place
City
Irvine
State
Kentucky
Zip
40336-1312
Phone Number
606-723-3213
Fax Number
606-723-3213
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6163 (Kentucky)
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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