Individual
MRS. MEGAN LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 444-5042
Mailing address
3876 ROCHESTER CIR, APT. B, SPRINGDALE, AR 72764-7066
(901) 413-9001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4135
AR
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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