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DR. KENNETH WAYNE JOHNSON D.D.S.
NPI 1497836704
Dentist - Pediatric Dentistry in Tupelo, MS

Active since October 17, 2006
704 HILLCREST, TUPELO, MS 38804(662) 840-8540(662) 840-0629 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Wayne Johnson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH WAYNE JOHNSON D.D.S. (NPI 1497836704) is an individual pediatric dentistry provider in Tupelo, Mississippi, licensed in Mississippi (PEDO29796) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1497836704
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KENNETH WAYNE JOHNSONCredential: D.D.S.
Location Address704 HILLCRESTTupelo, MS 38804
Mailing Address1407 Mitts DrTupelo, MS 38801-2215 · (662) 840-8540 · Fax (662) 840-0629
Phone(662) 840-8540
Fax(662) 840-0629
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497836704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MS · PEDO29796
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

704 HILLCREST, Tupelo, MS 38804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental PPO.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Johnson's NPI number?

The NPI number for Kenneth Johnson is 1497836704. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Kenneth Johnson located?

Kenneth Johnson practices at 704 Hillcrest, Tupelo, MS 38804. The listed phone number is (662) 840-8540.

What is Kenneth Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kenneth Johnson accept?

Health plans from Delta Dental PPO list Kenneth Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Johnson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.