Individual
LEAH JENNINGS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
614 E EMMA AVE, SPRINGDALE, AR 72764-4634
(479) 751-7417
Mailing address
2732 E LONDONDERRY DR, FAYETTEVILLE, AR 72701-2796
(502) 645-2044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3814
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/02/2009
Last updated
06/30/2023
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