National Provider Identifier

Kirk A Johnson, D.D.S.

Kirk A Johnson, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 865-6691.

NPI 1023180510Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1023180510
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
November 14, 2006
Last Updated
July 08, 2007

Practice Location

  • 1510 Ridge RD W
  • Rochester, NY 14615-2405

Phone: (585) 865-6691

Mailing Address

  • 2114 Preemption RD
  • P.O. Box 68
  • Oaks Corners, NY 14518-0068

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1023180510
Entity Type
Individual
Last Name
Johnson
First Name
Kirk
Middle Name
A
Credential
D.D.S.
Mailing Street Address
2114 Preemption RD
Mailing Address Line 2
P.O. Box 68
Mailing City
Oaks Corners
Mailing State
NY
Mailing ZIP Code
14518-0068
Mailing Country
US
Mailing Phone
(315) 945-2739
Practice Street Address
1510 Ridge RD W
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-2405
Practice Country
US
Practice Phone
(585) 865-6691
Enumeration Date
November 14, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)