Individual
JANCEE LASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1720 W GRAND ST STE B, SPRINGFIELD, MO 65802-4802
(417) 831-0150
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025019856
MO
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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