Individual
DR. SAMUEL ERIC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
112 LAMAR BLVD, HATTIESBURG, MS 39402-8147
(601) 450-5550
Mailing address
112 LAMAR BLVD, HATTIESBURG, MS 39402-8147
(601) 450-5550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3996-18
MS
Other
Enumeration date
06/05/2018
Last updated
03/20/2024
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