IndividualActive
Samantha Johnson
NPI 1083971956 · Endodontics · Bowling Green, KY
Provider details
- NPI number
- 1083971956
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9200 (KY)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1938 Lyda Ave
Bowling Green, KY 42104-3326
Phone: (270) 843-5600
Street-level locationGet directions
Mailing address
1938 Lyda Ave
Bowling Green, KY 42104-3326
Registry dates
- Enumerated
- 2012-04-17
- Last updated
- 2016-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.