Individual
PRECIOUS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3701A S HARVARD AVE # 177, TULSA, OK 74135-2282
(405) 497-5861
Mailing address
3701A S HARVARD AVE # 177, TULSA, OK 74135-2282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8038
OK
390200000X
Student in an Organized Health Care Education/Training Program
DB-2026-0168
NM
Other
Enumeration date
11/21/2025
Last updated
06/02/2026
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