Cole J. Johnson Dds Pa

NPI 1144618307 - Dentist - 1223G0001X

NPI Details
NPI 1144618307
Enumeration Date 12/22/2014
Last Updated 12/22/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name COLE JEROME COLE
Position OWNER/PRESIDENT
Phone (479) 452-2995
Fax
Practice Location
2420 S 51ST CT
FORT SMITH AR, 72903-3669, US
Phone (479) 452-2995
Fax
Business Location
2420 S 51ST CT
FORT SMITH AR, 72903-3669, US
Phone (479) 452-2995
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arkansas
License Number 3867
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According to our database, Cole J. Johnson Dds Pa NPI is 1144618307, taxonomy code is 1223G0001X and license number is 3867, license state is located at Arkansas. Cole J. Johnson Dds Pa physically located at 2420 S 51st Ct, Fort Smith AR, 72903-3669. NPI Number 1033115704 has the healthcare provider type.

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1144618307 NPI number is provided on an as is basis without warranty of any kind. 1144618307 is maintained by the National Plan & Provider Enumeration System. The contents of Cole J. Johnson Dds Pa are for informational purposes only.