Felix Joseph Johnson, DMD
Individual provider Active NPI General Practice Dentistry · Lancaster, KY
NPI 1447474168 · NPPES record last updated Apr 13, 2016
Key facts
- NPI
- 1447474168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4601 (KY)
- Practice address
- 1183 Stanford Rd
Lancaster, KY 40444 - Phone
- (859) 792-4236
- Fax
- (859) 792-6033
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4601 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dynamics LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4601 | KY | Yes |
Addresses
Primary practice location
1183 Stanford Rd
Lancaster, KY 40444
Mailing address
PO Box 642
Lancaster, KY 40444-0642
Phone (859) 792-4236
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All providers in Lancaster, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.