Individual
DR. JASENNA TYESHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
422 N HOLLY AVE, SILER CITY, NC 27344-3063
(919) 799-7100
(919) 766-0991
Mailing address
422 N HOLLY AVE, SILER CITY, NC 27344-3063
(919) 799-7100
(919) 766-0991
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401417370
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9577
NC
Other
Enumeration date
11/26/2013
Last updated
05/13/2024
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