Individual
JOHN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
707 PARKWAY ST STE 103, CONWAY, AR 72034-5363
(501) 327-5255
Mailing address
707 PARKWAY ST STE 103, CONWAY, AR 72034-5363
(501) 327-5255
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3775
AR
Other
Enumeration date
05/28/2010
Last updated
06/09/2014
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