Organization
V O JOHNSON PROGRESSIVE DENTAL DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VEDNA O JOHNSON III D.D.S. (DENTIST)
(870) 382-2777
Entity
Organization
Contact information
Practice address
103 CARLTON DR, DUMAS, AR 71639-2836
(870) 382-2777
(870) 382-2877
Mailing address
103 CARLTON DR, DUMAS, AR 71639-2836
(870) 382-2777
(870) 382-2877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2642
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212260631
—
AR
Enumeration date
04/05/2016
Last updated
12/20/2023
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