| V O Johnson Progressive Dental Dds Pa | |
|
103 Carlton Dr Dumas AR 71639-2836 | |
| (870) 382-2777 | |
| (870) 382-2877 |
| Full Name | V O Johnson Progressive Dental Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 Carlton Dr, Dumas, Arkansas |
| Authorized Official Name and Position | Vedna O Johnson (DENTIST) |
| Authorized Official Contact | 8703822777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| V O Johnson Progressive Dental Dds Pa 103 Carlton Dr Dumas AR 71639-2836 Ph: (870) 382-2777 | V O Johnson Progressive Dental Dds Pa 103 Carlton Dr Dumas AR 71639-2836 Ph: (870) 382-2777 |
| NPI Number | 1578926630 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578926630 | NPI | - | NPPES |
| 212260631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2642 (Arkansas) | Primary |
Dumas Family Dental Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Meador Dr, Dumas, AR 71639 Phone: 501-753-2800 |