Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336330810 Individual Practitioner Male Practitioner

Dr. Keith David Johnson , DDS

Dentist - General Practice • Liberty, MO

Professional Overview & Biography Verified Profile Summary

Dr. Keith Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Liberty, MO. Practice services are available at 26 S VILLAGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

26 S Village Dr

Liberty, MO 64068

Telephone 8167817571
Fax 8167817933
Associated Practice Facility / Clinic
🏢 Keith D Johnson Dds Pc Facility NPI 1164599452

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Liberty, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
15 Specialists

Practicing in Liberty, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 014182

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2007

Registered at 26 S VILLAGE DR, LIBERTY, MO 64068 (Tel: 8167817571)

📍
Updated Business Mailing Address August 08, 2007

Registered at 7912 NW BARR LANE, KC, MO 64152 (Tel: 8167466246)

👤
Provider Name / Credentials Updated August 08, 2007

Recorded as KEITH JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2007

Dentist (License #014182 in MO)

🟢
Initial NPI Registration & Enumeration August 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336330810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2007
Last Update: August 08, 2007
Sole Proprietor: No

Mailing Address

7912 Nw Barr Lane

Kc, MO 64152

Phone: 8167466246

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.