Provider Demographics
NPI:1780666297
Name:MCPHERSON, JOANNA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:S
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:SAENZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:655 7TH ST BLDG 700
Mailing Address - Street 2:78 MDG/SDG
Mailing Address - City:ROBINS AFB
Mailing Address - State:GA
Mailing Address - Zip Code:31098-2227
Mailing Address - Country:US
Mailing Address - Phone:478-222-6865
Mailing Address - Fax:478-327-8100
Practice Address - Street 1:655 7TH ST BLDG 700
Practice Address - Street 2:78 MDG/SDG
Practice Address - City:ROBINS AFB
Practice Address - State:GA
Practice Address - Zip Code:31098-2227
Practice Address - Country:US
Practice Address - Phone:478-222-6865
Practice Address - Fax:478-327-8100
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20338122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist