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1598975971
SHANNON POLLY JOHNSON
LOUISVILLE, KY
NPI
1598975971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 7939)
Additional Taxonomies
122300000X Dentist
(Licence: FL DN 17245)
Enumeration Date
2007-05-23
Last Update Date
2022-02-08
Business Address
DR. SHANNON POLLY JOHNSON DMD
9510 ORMSBY STATION RD STE 203
LOUISVILLE, KY 40223-4083
Phone number: 028-050-5005
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Mailing Address
DR. SHANNON POLLY JOHNSON DMD
2913 CREEKSIDE DR
LOUISVILLE, KY 40241-2106
Phone number: 502-957-9390
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