Individual provider · Type 1 NPI

Shannon Polly Johnson, DMD

Dentist · Louisville, KY

NPI number 1598975971 Active

Practice location

9513 Whipps Mill Rd
Louisville, KY 40242-3640

Fax (502) 771-6041

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X12013325A (IN)
Dentist Primary 122300000X7939 (KY)
Dentist 122300000XDN 17245 (FL)

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 1598975971

Shannon Polly Johnson, DMD's National Provider Identifier is 1598975971, issued on May 23, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Louisville, KY. The record was last updated on Jul 25, 2026.