Cole J. Johnson DDS PA

NPI #1144618307 in Fort Smith, Arkansas

Provider Information

NPI Number: 1144618307
Entity Type: Organization
Organization Name: Cole J. Johnson DDS PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 22, 2014
Last Updated: Dec 22, 2014

Practice Location

Address: 2420 S 51ST CT
City: Fort Smith
State: Arkansas
ZIP Code: 72903-3669
Phone: (479) 452-2995

Authorized Official

Name: DR. COLE JEROME JOHNSON, DDS
Title: OWNER/PRESIDENT
Phone: (479) 452-2995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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