Individual provider · Type 1 NPI
Kenneth Johannesen, DDS
Dentist · Northport, NY
Practice location
79 Middleville Rd, Dvamc Northport (160)
Northport, NY 11768-2200
Fax (631) 266-6020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 044235 (NY) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1477507754
Kenneth Johannesen, DDS's National Provider Identifier is 1477507754, issued on May 20, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Northport, NY. The record was last updated on Jul 12, 2007.