Individual
DR. LEONARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 E PONCE DE LEON AVE STE 300, DECATUR, GA 30030-3469
(678) 836-2113
Mailing address
507 BISHOP ST NW APT 3606, ATLANTA, GA 30318-4485
(251) 232-8908
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026213
OH
1223G0001X
General Practice Dentistry
1001065-15
WI
1223G0001X
General Practice Dentistry
Primary
DN014948
GA
Other
Enumeration date
05/31/2015
Last updated
01/25/2022
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