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Dr. Leah Marie Johnson, DDS
General Practice Dentistry in Racine, Wisconsin
NPI 1861841470

Leah Marie Johnson is a General Practice Dentistry based in Racine, WI and is specialized in General Practice. Leah Marie Johnson practices in Racine, WI and has the professional credentials of DDS. The NPI Number for Leah Marie Johnson is 1861841470 and holds a License No. (Wisconsin).

The current practice location address for Leah Marie Johnson is 1101 South Airline Road, Racine, WI and can be reached out via phone at 262-637-9243.

Location: 1101 South Airline Road, Racine, WI, 53406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861841470
Provider Name
Leah Marie Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1101 South Airline Road, Racine, WI, 53406
Phone Number
262-637-9243
Fax Number
Provider Enumeration Date
06/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 South Airline Road
City
Racine
State
Wisconsin
Zip
53406
Phone Number
262-637-9243
Fax Number
person
Provider Business Mailing Address Details
Address
1101 South Airline Road
City
Racine
State
Wisconsin
Zip
53406
Phone Number
262-637-9243
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1001341-15 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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