Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinton M Johnson DDS, Lawrence J. Shine Jr DDS PC

Organization General Practice Dentistry · NPI 1790851889

Clinton M Johnson DDS, Lawrence J. Shine Jr DDS PC provides General Practice Dentistry in Kansas City, Missouri. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1734 E 63rd St Ste 520
Kansas City, MO 64110 Not confirmed with CMS for 12 years — call before visiting
Phone: (816) 523-9787
Fax: (816) 444-1175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1790851889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clinton Johnson — Doctor · (816) 523-7788
NPI enumeratedNovember 28, 2006
Last updated in NPPESJanuary 9, 2014
Mailing address1734 E 63rd St, Suite 520, Kansas City, MO 64110

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