Cole J. Johnson Dds Pa | |
2420 S 51st Ct Fort Smith AR 72903-3669 | |
(479) 452-2995 | |
Not Available |
Full Name | Cole J. Johnson Dds Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 2420 S 51st Ct, Fort Smith, Arkansas |
Authorized Official Name and Position | Cole Jerome Johnson (OWNER/PRESIDENT) |
Authorized Official Contact | 4794522995 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cole J. Johnson Dds Pa 2420 S 51st Ct Fort Smith AR 72903-3669 Ph: (479) 452-2995 | Cole J. Johnson Dds Pa 2420 S 51st Ct Fort Smith AR 72903-3669 Ph: (479) 452-2995 |
NPI Number | 1144618307 |
---|---|
Provider Enumeration Date | 12/22/2014 |
Last Update Date | 12/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144618307 | NPI | - | NPPES |
199375608 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3867 (Arkansas) | Primary |
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› Verified 8 days ago
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