Individual
DR. EVAN MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1874 N HUNTERS RDG STE 2, FAYETTEVILLE, AR 72701-2896
(479) 444-0339
(479) 444-7995
Mailing address
1874 N HUNTERS RDG STE 2, FAYETTEVILLE, AR 72701-2896
(479) 444-0339
(479) 444-7995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4528
AR
Other
Enumeration date
07/14/2021
Last updated
08/02/2021
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