Individual
DR. COLE JEROME JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2420 S 51ST CT STE A, FORT SMITH, AR 72903-3669
(479) 452-2995
Mailing address
2420 S 51ST CT STE A, FORT SMITH, AR 72903-3669
(479) 452-2995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3867
AR
Other
Enumeration date
08/15/2012
Last updated
08/17/2012
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