Whalio Doctors

NPI 1033745120

Jeimy Ysabel Diaz Johnson, DDS

Practitioner General Practice Dentistry Lees Summit, MO

Practice location

Address
1153 NE Rice Rd, Lees Summit, MO 64086-6788
Phone
(816) 477-7070

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 2021035892 (MO)

Registry record

NPI
1033745120
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Mar 2020
Record last updated
10 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.