Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Whitney Wolfe Johnson

Individual provider Dentist · NPI 1225601008

Whitney Wolfe Johnson is a Dentist in Lebanon, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021

Practice location Address checks out

1180 Lynn St
Lebanon, MO 65536-3800
Phone: (417) 532-7166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2021021380 (MO)

Record details

NPI number1225601008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2021
Last updated in NPPESJuly 20, 2021
Certification dateApril 19, 2021
Mailing address140 Ridgeview Dr, Saint Robert, MO 65584-8614

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