Organization
JOHNSON DENTAL ASSOCIATES, PLLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA JO MARCUM DMD (OWNER)
(270) 237-3655
Entity
Organization
Contact information
Practice address
199 W MAIN ST, SCOTTSVILLE, KY 42164-1120
(270) 237-3655
Mailing address
199 W MAIN ST, SCOTTSVILLE, KY 42164-1120
(270) 237-3655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9200
KY
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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