Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679654586 Individual Practitioner Male Practitioner

Dr. Kenneth Dale Johnson , DDS

Dentist - General Practice • Perryton, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Perryton, TX. Practice services are available at 3102 GARRETT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3102 Garrett Dr

Perryton, TX 790705324

Telephone 8064356564
Fax 8064356565
Associated Practice Facility / Clinic
🏢 Reds Pharmacy Llc Facility NPI 1548391642

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Perryton, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Perryton, TX (10570 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 TX 8968

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1508194796

Doctor of Pharmacy (Pharm.D.)

NPI 1659968840

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3102 GARRETT DR, PERRYTON, TX 790705324 (Tel: 8064356564)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3102 GARRETT DR, PERRYTON, TX 790705324 (Tel: 8064356564)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH JOHNSON, D.D.S.

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

Dentist (License #8968 in TX)

🟢
Initial NPI Registration & Enumeration October 18, 2006

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: 1679654586
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3102 Garrett Dr

Perryton, TX 790705324

Phone: 8064356564

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.