Logan N Johnson DDS LLC
Dentist, General Practice in Kenner, LA. Organization (NPI-2).
NPI number1104701044
StatusActive
Last updated in NPPESAug 8, 2025
Details
- NPI
- 1104701044
- Entity type
- Organization (NPI-2)
- Legal business name
- Logan N Johnson DDS LLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2025
- Certification date
- Aug 8, 2025
- Last updated
- Aug 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Nola Dental Studio (Doing Business As)
Practice location
3645 Williams Blvd Ste 103Kenner, LA 70065-3464
Phone 504-443-5882
Mailing address
314 Metairie Heights AveMetairie, LA 70001-3039
Authorized official
Logan N Johnson
Dentist (Owner)
5044435882
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