SHANNON POLLY JOHNSON

LOUISVILLE, KY
NPI1598975971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: KY  7939)
Additional Taxonomies122300000X Dentist
(Licence: FL  DN 17245)
Enumeration Date2007-05-23
Last Update Date2022-02-08
Business Address
Dr. SHANNON POLLY JOHNSON DMD
9510 ORMSBY STATION RD STE 203
LOUISVILLE, KY 40223-4083
Phone number: 028-050-5005
Mailing Address
Dr. SHANNON POLLY JOHNSON DMD
2913 CREEKSIDE DR
LOUISVILLE, KY 40241-2106
Phone number: 502-957-9390
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