KEITH D JOHNSON DDS PC


Address: 26 S Village Drive, Liberty, MO 64068
Phone: 8167817571

KEITH D JOHNSON DDS PC (NPI# 1164599452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164599452
Entity Type Organization
Organization Name KEITH D JOHNSON DDS PC
Practice Address 26 S Village Drive
Liberty
MO 64068
Practice Telephone 8167817571
Practice Fax Number 8167817933
Mailing Telephone 8167817571
Mailing Fax Number 8167817933
Enumeration Date 2006-11-29
Last Update Date 2020-08-22
Authorized Official Name DR. KEITH DAVID JOHNSON (GENERAL DENTIST OWNER)
Authorized Official Telephone 8167817571
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 14182 MO Dental Providers

Office Location

Street Address 26 S VILLAGE DRIVE
City LIBERTY
State MO
Zip Code 64068

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700437258 Midwestern Medical Consultants LLC Assisted Living Facility 227 W. Franklin St, Liberty, MO 64068 2019-09-26
1063935062 Jennifer Nichole Gibson Nurse Practitioner Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 2017-07-21
1598288755 Lhlc Operations, LLC Skilled Nursing Facility 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 2017-07-19
1023438371 Sarah E Ehlers Social Worker 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 2014-04-24
1629498563 Kelli Hedgpeth Physical Therapy Assistant 3980 South Jackson Dr, Independence, MO 64068 2014-04-18
1639593965 Klein Dental Group LLC Clinic/Center 12 Westwoods Dr, Liberty, MO 64068 2014-02-06
1124457239 Sarah Ehlers, Lcsw LLC Social Worker 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 2013-11-08
1134561558 Holly Hemphill Marriage & Family Therapist 117 N. Water Street, Liberty, MO 64068 2013-07-26
1093157133 Tina Wilma Sanborn Marriage & Family Therapist 1170 W. Kansas St., Liberty, MO 64068 2013-07-17
1609215441 Timothy Adam Lynch Marriage & Family Therapist 1170 West Kansas Ave., Liberty, MO 64068 2013-06-14
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043617277 Smiles To Go, LLC Dentist 214 Claiborne St, Liberty, MS 39645-8179 2014-12-03
1437570942 Liberty Smiles, Pllc Dentist 2129 Highway 146 Byp Ste A, Liberty, TX 77575-6000 2013-12-31
1780970327 John A Deakins Dentist 6 Victory Ln Ste 1, Liberty, MO 64068-3805 2011-06-22
1235385055 Jacob John Dentist 37 Triangle Rd, Liberty, NY 12754-3371 2008-08-12
1174798078 Dr. Michele Beeler, D.m.d., Pllc Dentist 650 Whipp Avenue, Liberty, KY 42539 2008-04-23
1932327236 Mark Bryan Beard Dentist 6 Victory Lane, Liberty, MO 64068 2007-04-23
1679631022 Daniel Thomas Colgan Dentist 115 Blue Jay Dr, Ste 104, Liberty, MO 64068 2006-12-05
1780750307 Edward William Whiteman Dentist 103 Clayview Dr, Liberty, MO 64068 2006-11-27
1992879787 Highland Dental Clinic LLC Dentist 200 N Forest Ave, Liberty, MO 64068-1070 2006-11-20
1336210723 Thomas Edgar Butler Jr. Dentist 524 N Greensboro St, Liberty, NC 27298 2006-11-10
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Competitor

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City LIBERTY
Zip Code 64068

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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