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Individual

DR. SAMANTHA KAYE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2970 PEACHTREE RD NW STE 660, ATLANTA, GA 30305-2115
(404) 237-6464
(404) 266-8567
Mailing address
2970 PEACHTREE RD NW STE 660, ATLANTA, GA 30305-2115
(404) 237-6464
(404) 266-8567

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
14944
GA
1223G0001X
General Practice Dentistry
049903
NY
1223G0001X
General Practice Dentistry
24511
TX
1223G0001X
General Practice Dentistry
53131
CA
1223G0001X
General Practice Dentistry
Primary
DN014944
GA

Other

Enumeration date
06/28/2006
Last updated
08/27/2024
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