Individual provider · Type 1 NPI

Kenneth O. Johnson, DDS

General Practice Dentistry · South Holland, IL

NPI number 1912058280 Active

About NPI 1912058280

Kenneth O. Johnson, DDS's National Provider Identifier is 1912058280, issued on Jan 15, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Holland, IL. The record was last updated on Jul 8, 2007.