NPI 1679654586

Kenneth Dale Johnson, DDS

Practitioner General Practice Dentistry Perryton, TX

Practice location

Address: 3102 Garrett Dr, Perryton, TX 79070-5324
Phone: (806) 435-6564
Fax: (806) 435-6565

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 8968 (TX)

Other Dentist providers in Texas →

Registry record

NPI: 1679654586
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.